HCPCS J7298
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg
Current code46 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) |
|---|---|---|---|
| BHC Fairfax Hospital | — | $1,250 | $1,250 |
| Capital Medical Center | — | $1,158 – $1,192 | $2,896 – $2,981 |
| Cascade Medical Center | $2,255 | $3,377 | $4,222 |
| Cascade Valley Hospital | — | $1,657 – $1,698 | $2,071 – $2,122 |
| Deaconess Medical Center | — | $1,395 – $1,428 | $3,488 – $3,569 |
| EvergreenHealth Medical Center | — | $2,629 – $4,890 | $3,286 – $6,113 |
| EvergreenHealth Monroe | — | $2,629 | $3,286 |
| Highline Medical Center | — | $1,237 – $1,675 | $4,052 – $5,485 |
| Island Hospital | — | $1,500 | $1,500 |
| Kadlec Regional Medical Center | — | $2,875 | $4,107 |
| Legacy Salmon Creek Medical Center | — | — | — |
| Mary Bridge Children's Hospital | — | $1,357 – $1,396 | $3,393 – $3,490 |
| MultiCare Auburn Medical Center | — | $1,147 | $2,868 |
| MultiCare Covington Medical Center | — | $1,154 | $2,886 |
| MultiCare Good Samaritan Hospital | — | $1,163 – $1,192 | $2,907 – $2,981 |
| MultiCare Valley Hospital | — | $1,400 – $1,428 | $3,499 – $3,569 |
| Olympic Medical Center | — | $2,588 | $3,235 |
| Overlake Hospital Medical Center & Clinics | — | — | — |
| PeaceHealth Peace Island Medical Center | — | $2,767 | $4,257 |
| PeaceHealth Southwest Medical Cente | — | $2,494 – $2,767 | $3,837 – $4,257 |
| PeaceHealth St John Medical Center | — | $2,767 | $4,257 |
| PeaceHealth St Joseph Medical Center | — | $2,643 – $2,767 | $4,066 – $4,257 |
| PeaceHealth United General Medical Center | — | $2,767 | $4,257 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,315 | $1,879 |
| Providence Centralia Hospital | — | $690 | $1,327 |
| Providence Holy Family Hospital | — | $1,315 | $1,879 |
| Providence Regional Medical Center Everett | — | — | — |
| Providence St Mary Medical Center | — | — | — |
| Providence St Peter Hospital | — | — | — |
| Seattle Children's Hospital | $612 | $2,429 | $2,429 |
| Skagit Valley Hospital | — | $1,235 – $1,698 | $1,544 – $2,122 |
| St Anthony Hospital | — | $1,232 – $1,668 | $4,052 – $5,485 |
| St Clare Hospital | — | $1,168 – $1,581 | $4,052 – $5,485 |
| St Elizabeth Hospital | — | $1,432 – $1,938 | $4,052 – $5,485 |
| St Francis Community Hospital | — | $1,272 – $1,721 | $4,052 – $5,485 |
| St Joseph Medical Center | — | $1,342 – $1,817 | $4,052 – $5,485 |
| St Michael Medical Center | — | $1,788 – $2,421 | $4,052 – $5,485 |
| 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 | — | $1,166 – $1,192 | $2,916 – $2,981 |
| Three Rivers Hospital | $1,201 | $1,716 | $1,716 |
| Virginia Mason Medical Center | — | $858 | $1,682 |
| WhidbeyHealth Medical Center | — | $1,317 | $1,317 |
| Yakima Valley Memorial | — | $2,009 – $2,054 | $5,022 – $5,135 |
Medicare (traditional) reference
CMS publishes no national amount for this code.