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
Port Arthur, TX
See all hospitals reporting CPT 11976 →Price type
Christus Health Southeast Texas’s median price of $705 is 10% below the median hospital's median price ($787), higher than 37% 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, 30 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 chip km fee schedule · outpatient | $64.83 | $64.83 | $64.83 – $64.83 |
| 2 | Molina star km fee schedule · outpatient | $64.83 | $64.83 | $64.83 – $64.83 |
| 3 | Molina star plus km fee schedule · outpatient | $64.83 | $64.83 | $64.83 – $64.83 |
| 4 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $104.85 | $104.85 | $104.85 – $104.85 |
| 5 | Bcbs Tx hmo fee schedule · outpatient | $104.85 | $104.85 | $104.85 – $104.85 |
| 6 | Bcbs Tx heb fee schedule · outpatient | $116.16 | $116.16 | $116.16 – $116.16 |
| 7 | Bcbs Tx ppo fee schedule · outpatient | $124.46 | $124.46 | $124.46 – $124.46 |
| 8 | Bcbs Tx traditional fee schedule · outpatient | $128.99 | $128.99 | $128.99 – $128.99 |
| 9 | UnitedHealthcare chip km case rate · outpatient | $158.49 | $158.49 | $158.49 – $158.49 |
| 10 | UnitedHealthcare star kid km case rate · outpatient | $158.49 | $158.49 | $158.49 – $158.49 |
| 11 | UnitedHealthcare star km case rate · outpatient | $158.49 | $158.49 | $158.49 – $158.49 |
| 12 | UnitedHealthcare star plus km case rate · outpatient | $158.49 | $158.49 | $158.49 – $158.49 |
| 13 | Humana choicecare other · outpatient | $217.00 | $217.00 | $217.00 – $217.00 |
| 14 | Aetna mm fee schedule · outpatient | $704.73 | $704.73 | $704.73 – $704.73 |
| 15 | Bcbs Tx mm fee schedule · outpatient | $704.73 | $704.73 | $704.73 – $704.73 |
| 16 | Humana gold choice mm fee schedule · outpatient | $704.73 | $704.73 | $704.73 – $704.73 |
| 17 | Molina medicare adv mm fee schedule · outpatient | $704.73 | $704.73 | $704.73 – $704.73 |
| 18 | UnitedHealthcare mm fee schedule · outpatient | $704.73 | $704.73 | $704.73 – $704.73 |
| 19 | WellCare mm fee schedule · outpatient | $704.73 | $704.73 | $704.73 – $704.73 |
| 20 | Devoted mm fee schedule · outpatient | $761.11 | $761.11 | $761.11 – $761.11 |
| 21 | UnitedHealthcare hix case rate · outpatient | $1,068 | $1,068 | $1,068 – $1,068 |
| 22 | Aetna new business case rate · outpatient | $1,741 | $1,741 | $1,741 – $1,741 |
| 23 | Aetna epo case rate · outpatient | $1,934 | $1,934 | $1,934 – $1,934 |
| 24 | Aetna hmo case rate · outpatient | $1,934 | $1,934 | $1,934 – $1,934 |
| 25 | Aetna pos case rate · outpatient | $1,934 | $1,934 | $1,934 – $1,934 |
Last updated: Jan 13, 2026
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