HCPCS J7296

Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg

Current code43 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS J7296 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$1,192$2,981
Cascade Medical CenterLeavenworth$1,609 – $2,4184 plans$2,314$2,892
Cascade Valley HospitalArlington$389 – $2,0934 plans$1,666 – $1,673$2,082 – $2,091
EvergreenHealth Medical CenterKirkland—$2,629 – $4,890$3,286 – $6,113
Highline Medical CenterBurienFile dated 2026-02-28—$1,237 – $2,067$4,052 – $6,768
Island HospitalAnacortes$372 – $4033 plans$1,500$1,500
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$2,875$4,107
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$1,772$2,727
Mason General Hospital & Family of ClinicsShelton$1,341 – $1,4483 plans$3,474$4,632
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$1,138$2,845
Olympic Medical CenterPort AngelesFile dated 2026-06-24$461 – $5055 plans$1,941$2,427
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$1,315$1,879
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$1,315$1,879
Skagit Valley HospitalMount Vernon$361 – $4774 plans$1,666 – $1,673$2,082 – $2,091
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,232 – $2,059$4,052 – $6,768
St Clare HospitalLakewoodFile dated 2026-02-28—$1,168 – $1,951$4,052 – $6,768
St Elizabeth HospitalEnumclawFile dated 2026-02-28$1,135 – $2,2455 plans$1,432 – $2,392$4,052 – $6,768
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,272 – $2,124$4,052 – $6,768
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1,342 – $2,242$4,052 – $6,768
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,788 – $2,987$4,052 – $6,768
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$2,619$5,456
Swedish IssaquahIssaquahFile dated 2026-04-01—$2,619$5,456
Swedish Medical CenterSeattleFile dated 2026-04-01—$2,619$5,456
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$2,619$5,456
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$1,138$2,845
Virginia Mason Medical CenterSeattle—$858$1,682

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

CMS publishes no national amount for this code.