HCPCS J7297
Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg
Current code35 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $622 – $5,289 | $544 | $1,360 |
| Cascade Valley Hospital | $136 – $2,028 | $1,278 | $1,597 |
| Deaconess Medical Center | $623 – $2,307 | $670 | $1,676 |
| Highline Medical Center | $1,599 – $4,745 | $1,610 | $5,272 |
| Island Hospital | — | — | — |
| Kadlec Regional Medical Center | $1,124 – $4,046 | — | — |
| Legacy Salmon Creek Medical Center | $2,516 | — | — |
| Mary Bridge Children's Hospital | $878 – $6,850 | $544 | $1,360 |
| MultiCare Auburn Medical Center | $524 – $6,398 | $544 | $1,360 |
| MultiCare Covington Medical Center | $524 – $6,398 | $544 | $1,360 |
| MultiCare Good Samaritan Hospital | $524 – $6,398 | $544 | $1,360 |
| MultiCare Valley Hospital | $1,064 – $2,307 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $1,684 – $2,657 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $930 – $1,775 | — | — |
| Providence Centralia Hospital | $2,236 – $4,046 | — | — |
| Providence Holy Family Hospital | $930 – $1,775 | — | — |
| Providence Regional Medical Center Everett | $930 – $1,775 | — | — |
| Providence St Mary Medical Center | $1,775 | $1,858 | $2,654 |
| Providence St Peter Hospital | $1,846 | — | — |
| Seattle Children's Hospital | $1,006 – $1,789 | $1,864 | $1,864 |
| Skagit Valley Hospital | $178 – $2,028 | $985 – $1,278 | $1,231 – $1,597 |
| St Anthony Hospital | $1,437 – $4,863 | $1,603 | $5,272 |
| St Clare Hospital | $1,437 – $4,863 | $1,520 | $5,272 |
| St Elizabeth Hospital | $1,756 – $4,863 | $1,863 | $5,272 |
| St Francis Community Hospital | $1,437 – $4,863 | $1,654 | $5,272 |
| St Joseph Medical Center | $1,437 – $4,863 | $1,746 | $5,272 |
| St Michael Medical Center | $1,775 – $4,745 | $2,327 | $5,272 |
| Swedish Edmonds Hospital | $930 | — | — |
| Swedish Issaquah | $930 | — | — |
| Swedish Medical Center | $930 | — | — |
| Swedish Medical Center / Cherry Hill | $930 | — | — |
| Tacoma General Allenmore Hospital | $524 – $6,398 | $544 | $1,360 |
| Virginia Mason Medical Center | $924 – $3,211 | $785 | $1,539 |
| Yakima Valley Memorial | $958 – $1,572 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.