HCPCS J7296
Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg
Current code37 hospitals with prices
What Washington hospitals publish for this code
Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.
| Hospital | Medicaid (state program) rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $1,192 | $2,981 |
| Cascade Medical Center | $1,545 | $2,314 | $2,892 |
| Cascade Valley Hospital | — | $1,666 – $1,673 | $2,082 – $2,091 |
| EvergreenHealth Medical Center | — | $2,629 – $4,890 | $3,286 – $6,113 |
| Highline Medical Center | — | $1,237 – $2,067 | $4,052 – $6,768 |
| Island Hospital | — | $1,500 | $1,500 |
| Kadlec Regional Medical Center | — | $2,875 | $4,107 |
| MultiCare Good Samaritan Hospital | — | $1,138 | $2,845 |
| Olympic Medical Center | — | $1,941 | $2,427 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,315 | $1,879 |
| Providence Holy Family Hospital | — | $1,315 | $1,879 |
| Skagit Valley Hospital | — | $1,666 – $1,673 | $2,082 – $2,091 |
| St Anthony Hospital | — | $1,232 – $2,059 | $4,052 – $6,768 |
| St Clare Hospital | — | $1,168 – $1,951 | $4,052 – $6,768 |
| St Elizabeth Hospital | — | $1,432 – $2,392 | $4,052 – $6,768 |
| St Francis Community Hospital | — | $1,272 – $2,124 | $4,052 – $6,768 |
| St Joseph Medical Center | — | $1,342 – $2,242 | $4,052 – $6,768 |
| St Michael Medical Center | — | $1,788 – $2,987 | $4,052 – $6,768 |
| Swedish Edmonds Hospital | — | $2,619 | $5,456 |
| Swedish Issaquah | — | $2,619 | $5,456 |
| Swedish Medical Center | — | $2,619 | $5,456 |
| Swedish Medical Center / Cherry Hill | — | $2,619 | $5,456 |
| Tacoma General Allenmore Hospital | — | $1,138 | $2,845 |
| Virginia Mason Medical Center | — | $858 | $1,682 |
Medicare (traditional) reference
CMS publishes no national amount for this code.