Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

J7296 — Levonorgestrel 17.5 Mcg/24 Hr (up To 5 Yrs) 19.5mg Intrauterine Device

What each payer pays MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM (CCN 281359) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$2,109 All-payer median here
$3,358 Cash / self-pay here
12 payer/plan-name variants
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
NE TOTAL CARE COMM EXCH OP/PROFEE ONLY $5,876 178.6% 1
MULTIPLAN (PHCS)-ALL PLANS $4,113 95.0% 1
BCBS of Nebraska $4,008 90.0% 2
Medica $3,022 43.3% 2
Humana $2,948 39.8% 2
TRICARE $2,098 -0.5% 1
UnitedHealthcare $2,098 -0.5% 4
BCBS MCR ADV $2,098 -0.5% 1
Amerigroup $2,091 -0.9% 1
Centene $2,012 -4.6% 1
NE TOTAL CARE MCAID-ALL OTHER PLANS $1,973 -6.5% 1
WellCare Health Plans $1,973 -6.5% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.