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
Rem Impl Contracept Capsules
Pompton Plains, NJ
See all hospitals reporting CPT 11976 →Price type
Chilton Medical Center’s median price of $816 is 4% above the median hospital's median price ($787), higher than 52% 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: 9 payers, 15 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 | Aetna cmc aetna ahs employee other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 2 | Aetna cmc aetna medicare fee schedule · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 3 | Aetna cmc aetna nnj prime other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 4 | Ambetter cmc ambetter wellcare of nj other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 5 | Anthem cmc horizon braven other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 6 | Blue Cross Blue Shield cmc horizon braven other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 7 | Cigna cmc cigna medicare fee schedule · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 8 | Highmark cmc highmark wholecare / gateway health plan inc other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 9 | Highmark cmc horizon braven other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 10 | Tricare cmc tricare contract other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 11 | Tricare cmc tricare-east (humana military) other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 12 | WellCare cmc wellcare phw other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 13 | WellCare cmc wellcare/fedelis medicare other · outpatient | $816.39 | $816.39 | $816.39 – $816.39 |
| 14 | Amerihealth Caritas cmc amerihealth caritas other · outpatient | $824.55 | $824.55 | $824.55 – $824.55 |
| 15 | Aetna cmc aetna htc other · outpatient | $1,143 | $1,143 | $1,143 – $1,143 |
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.