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
HC RMVL IMPL CONTRACEPT CAP
Omaha, NE
See all hospitals reporting CPT 11976 →Price type
Alegent Health Immanuel Medical Center’s median price of $713 is 9% below the median hospital's median price ($787), higher than 40% 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: 6 payers, 14 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $148.82 | $148.82 | $148.82 – $148.82 |
| 2 | Medica commercial|aco fee schedule · outpatient | $172.18 | $172.18 | $172.18 – $172.18 |
| 3 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $499.61 | $499.61 | $499.61 – $499.61 |
| 4 | Medica commercial|open access fee schedule · outpatient | $552.76 | $552.76 | $552.76 – $552.76 |
| 5 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $685.69 | $685.69 | $685.69 – $685.69 |
| 6 | Humana medicare|all plans case rate · outpatient | $685.69 | $685.69 | $685.69 – $685.69 |
| 7 | Medica medicare|all plans case rate · outpatient | $685.69 | $685.69 | $685.69 – $685.69 |
| 8 | UnitedHealthcare medicare|all plans case rate · outpatient | $685.69 | $685.69 | $685.69 – $685.69 |
| 9 | Phcs commercial|all plans fee schedule · inpatient | $754.73 | $754.73 | $754.73 – $754.73 |
| 10 | Phcs commercial|all plans fee schedule · outpatient | $797.25 | $797.25 | $797.25 – $797.25 |
| 11 | MultiPlan commercial|all plans fee schedule · inpatient | $903.55 | $903.55 | $903.55 – $903.55 |
| 12 | MultiPlan commercial|all plans fee schedule · outpatient | $903.55 | $903.55 | $903.55 – $903.55 |
| 13 | Medica commercial|chi health case rate · outpatient | $1,422 | $1,422 | $1,422 – $1,422 |
| 14 | Medica commercial|all other plans case rate · outpatient | $1,938 | $1,938 | $1,938 – $1,938 |
Last updated: Feb 28, 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.