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
Rmvl Implnt Cntrcptv Cpsls
The hospitals that file a Medicaid 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.
Filter by billing methodology
Filter by billing class
76 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $73.34 | $47.00 – $99.67 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $73.34 | $47.00 – $99.67 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $70.84 | $42.00 – $99.67 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $99.67 | $99.67 – $99.67 |
| 5 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $674.68 | $674.68 – $674.68 |
| 6 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $674.68 | $674.68 – $674.68 |
| 7 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $674.68 | $674.68 – $674.68 |
| 8 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $546.00 | $546.00 – $546.00 |
| 9 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $30.50 | $30.50 – $30.50 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $74.04 | $74.04 – $74.04 |
| 11 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $30.50 | $30.50 – $30.50 |
| 12 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $268.07 | $268.07 – $268.07 |
| 13 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $110.56 | $110.56 – $110.56 |
| 14 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $142.97 | $142.97 – $142.97 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $36.91 | $36.91 – $36.91 |
| 16 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $60.28 | $60.28 – $60.28 |
| 17 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $74.49 | $74.49 – $74.49 |
| 18 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $47.00 | $47.00 – $47.00 |
| 19 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA other · both | 1 | $859.16 | $859.16 – $859.16 |
| 20 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $1,134 | $1,134 – $1,134 |
| 21 | Henry Ford Health Novi, MI other · outpatient | 1 | $399.83 | $399.83 – $399.83 |
| 22 | Henry Ford Health Twp, MI other · outpatient | 1 | $409.58 | $409.58 – $409.58 |
| 23 | Henry Ford Health Southfield, MI other · outpatient | 1 | $399.83 | $399.83 – $399.83 |
| 24 | Henry Ford Health Rochester, MI other · outpatient | 1 | $372.25 | $372.25 – $372.25 |
| 25 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $197.00 | $197.00 – $197.00 |
← Payers reporting CPT 11976 · Snapshot 20261108T055240Z-43b7dac7