Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS J7298 (Mirena) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Contraceptive Systems |
| Common Place of Service | 11 - Office None 50 - Federally Qualified Health Center |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J7298 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7298 by major payers:
$1,072.93
$1,182.56
$1,323.30
$1,225.17
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J7298.
HCPCS J7298
5 of 25 sample ratesHigher to lower in this preview
Thomas Mcdonald
$2,570.63Published rateLester E Cox Medical Centers, Regional Services
$1,237.20Published rateCheri Coyle
$1,156.79Published rateKenneth Cahill
Barnabas Health Medical Group P C
$1,101.69Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$991.53Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J7298 vs. Other Contraceptive Systems Codes
The HCPCS J7298 code is part of the Drugs Administered Other than Oral Method services used for Contraceptive Systems. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J7298 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| J7297-HCPCS | Moderate | Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg |
| J7298-HCPCS | High | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg |
| J7300-HCPCS | High | Intrauterine copper contraceptive (paragard) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7298. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7298 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS J7298) and we'll show you how you compare in 15 minutes or less.