HCPCS J7296
Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg
Current code37 hospitals with prices
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.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $394 – $584 | $1,192 | $2,981 |
| Cascade Medical Center | $1,609 – $2,418 | $2,314 | $2,892 |
| Cascade Valley Hospital | $389 – $2,093 | $1,666 – $1,673 | $2,082 – $2,091 |
| Deaconess Medical Center | $360 – $382 | — | — |
| EvergreenHealth Medical Center | — | $2,629 – $4,890 | $3,286 – $6,113 |
| Highline Medical Center | — | $1,237 – $2,067 | $4,052 – $6,768 |
| Island Hospital | $372 – $403 | $1,500 | $1,500 |
| Kadlec Regional Medical Center | — | $2,875 | $4,107 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | $373 – $403 | — | — |
| MultiCare Auburn Medical Center | $366 – $395 | — | — |
| MultiCare Covington Medical Center | $366 – $395 | — | — |
| MultiCare Good Samaritan Hospital | $375 – $404 | $1,138 | $2,845 |
| MultiCare Valley Hospital | $358 – $379 | — | — |
| Olympic Medical Center | $461 – $505 | $1,941 | $2,427 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,315 | $1,879 |
| Providence Centralia Hospital | — | — | — |
| Providence Holy Family Hospital | — | $1,315 | $1,879 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Skagit Valley Hospital | $361 – $477 | $1,568 – $1,673 | $1,960 – $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 | $689 – $1,401 | $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 | $375 – $405 | $1,138 | $2,845 |
| Virginia Mason Medical Center | — | $858 | $1,682 |
| WhidbeyHealth Medical Center | — | $1,159 | $1,159 |
| Yakima Valley Memorial | $358 – $416 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.