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
Remove Contraceptive Capsule
Low
$62
Average
$1.4k
Median
$846
High
$6.7k
Filter by billing methodology
Reflects a negotiated per diem rate paid per day of care.
Showing only prices reported under the per diem methodology. Choose another in the filter above to change the chart. 83 hospitals; the 90th percentile is 12.6× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Salem Hospital Salem, MA | $256 | $256 | — | — | 1–10 | $256 – $256 |
| 2 | Piedmont Rockdale Conyers, GA | $1.9k | $1.9k | $93 | 5% | 1–10 | $1.8k – $2.0k |
| 3 | Deaconess Hospital, Inc Newburgh, IN | $691 | $691 | — | — | — | $691 – $691 |
| 4 | Methodist Hospital Hill Country Fredericksburg, TX | $365 | $365 | — | — | — | $365 – $365 |
| 5 | Metro Knoxville HMA LLC Powell, TN | $637 | $637 | $5 | 1% | — | $632 – $642 |
| 6 | Tristar Centennial Medical Center SPRING HILL, TN | $805 | $846 | $105 | 12% | — | $743 – $990 |
| 7 | Tristar Southern Hills Medical Center ANTIOCH, TN | $921 | $921 | $57 | 6% | — | $850 – $990 |
| 8 | MercyOne Genesis DeWitt Medical Center DeWitt, IA | $2.7k | $2.1k | $825 | 39% | — | $928 – $2.7k |
| 9 | Tristar Skyline Medical Center NASHVILLE, TN | $778 | $829 | $117 | 14% | — | $718 – $990 |
| 10 | Fairfield Medical Center Lancaster, OH | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
Ask Claude or any MCP client for CPT 11976 pricing at a specific hospital — see how to connect.