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
Fond Du Lac, WI
See all hospitals reporting CPT 11976 →Price type
Agnesian Healthcare Inc.’s median price of $3.0k is 276% above the median hospital's median price ($787), higher than 95% of the 1,815 hospitals reporting CPT 11976. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 6 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina medicare managed care plan fee schedule · outpatient | $525.32 | $525.32 | $525.32 – $525.32 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan fee schedule · outpatient | $700.42 | $700.42 | $700.42 – $700.42 |
| 3 | WellCare medicare managed care plan fee schedule · outpatient | $714.43 | $714.43 | $714.43 – $714.43 |
| 4 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos fee schedule · outpatient | $2,654 | $2,654 | $2,654 – $2,654 |
| 5 | Blue Cross Blue Shield blue access ppo fee schedule · outpatient | $3,335 | $3,335 | $3,335 – $3,335 |
| 6 | Blue Cross Blue Shield blue traditional traditional fee schedule · outpatient | $3,335 | $3,335 | $3,335 – $3,335 |
Last updated: Apr 1, 2026
See Removal of contraceptive implant pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.