CPT 11975
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Insert contraceptive cap
Low
$73
Average
$312
Median
$147
High
$4.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 2.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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25 hospital rates
iThe hospitals that file a UnitedHealthcare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Columbia Lutheran Charities Astoria, OR facility · other · both | 1 | $294 | $294 | — | — | — | $294 – $294 |
| 2 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 2 | $134 | $178 | $105 | 59% | — | $52 – $344 |
| 3 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 4 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 5 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 6 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 8 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 9 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $226 | $226 | — | — | — | $226 – $226 |
| 10 | Denver Health and Hospital Authority Denver, CO facility · case rate · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 11 | MED CITY HEART HOSPITAL Dallas, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 12 | MED CITY SPINE HOSPITAL DALLAS, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 13 | MEDICAL CITY ALLIANCE HASLET, TX case rate · outpatient | 5 | $140 | $140 | — | — | — | $140 – $140 |
| 14 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 15 | MEDICAL CITY DALLAS GARLAND, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 16 | MEDICAL CITY DECATUR DECATUR, TX case rate · outpatient | 3 | $147 | $147 | — | — | — | $147 – $147 |
| 17 | MEDICAL CITY DENTON Denton, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 18 | MEDICAL CITY FORT WORTH FORT WORTH, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 19 | MEDICAL CITY LAS COLINAS Irving, TX case rate · outpatient | 5 | $140 | $140 | — | — | — | $140 – $140 |
| 20 | MEDICAL CITY LEWISVILLE Lewisville, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 21 | MEDICAL CITY MCKINNEY MCKINNEY, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 22 | MEDICAL CITY NORTH HILLS North Richland Hills, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 23 | MEDICAL CITY PLANO Plano, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
| 24 | MEDICAL CITY SURGERY CITY ALLIANCE FT WORTH, TX case rate · outpatient | 5 | $140 | $140 | — | — | — | $140 – $140 |
| 25 | Medical City Argyle Argyle, TX case rate · outpatient | 5 | $147 | $147 | — | — | — | $147 – $147 |
← Payers reporting CPT 11975 · Snapshot 20261113T090226Z-3ce6c0b8