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
PR REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES
Hudson, NY
See all hospitals reporting CPT 11976 →Price type
Columbia Memorial Hospital’s median price of $133 is 83% below the median hospital's median price ($787), higher than 7% 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, 50 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 | UnitedHealthcare medicaid_fac professional · fee schedule · outpatient | $38.72 | $38.72 | $38.72 – $38.72 |
| 2 | UnitedHealthcare medicaid_nonfac professional · fee schedule · outpatient | $61.19 | $61.19 | $61.19 – $61.19 |
| 3 | Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient | $67.42 | $67.42 | $67.42 – $67.42 |
| 4 | Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient | $71.39 | $71.39 | $71.39 – $71.39 |
| 5 | Blue Cross Blue Shield pathway enhanced_fac professional · fee schedule · outpatient | $74.25 | $74.25 | $74.25 – $74.25 |
| 6 | Blue Cross Blue Shield ppo_fac professional · fee schedule · outpatient | $74.25 | $74.25 | $74.25 – $74.25 |
| 7 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient | $82.29 | $82.29 | $82.29 – $82.29 |
| 8 | Tricare all products_nonphysician_fac professional · fee schedule · outpatient | $82.29 | $82.29 | $82.29 – $82.29 |
| 9 | UnitedHealthcare medicare_fac professional · fee schedule · outpatient | $87.13 | $87.13 | $87.13 – $87.13 |
| 10 | Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient | $90.52 | $90.52 | $90.52 – $90.52 |
| 11 | Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient | $96.81 | $96.81 | $96.81 – $96.81 |
| 12 | Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient | $96.81 | $96.81 | $96.81 – $96.81 |
| 13 | Tricare all products_physician_fac professional · fee schedule · outpatient | $96.82 | $96.82 | $96.82 – $96.82 |
| 14 | UnitedHealthcare all products_nonmd_fac professional · fee schedule · outpatient | $99.01 | $99.01 | $99.01 – $99.01 |
| 15 | Aetna medicare_fac professional · fee schedule · outpatient | $99.71 | $99.71 | $99.71 – $99.71 |
| 16 | Highmark all products_without loc professional · fee schedule · outpatient | $103.42 | $103.42 | $103.42 – $103.42 |
| 17 | Blue Cross Blue Shield blue access_nonfac professional · fee schedule · outpatient | $105.34 | $105.34 | $105.34 – $105.34 |
| 18 | Highmark medicare_without loc professional · fee schedule · outpatient | $105.51 | $105.51 | $105.51 – $105.51 |
| 19 | Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient | $106.49 | $106.49 | $106.49 – $106.49 |
| 20 | Blue Cross Blue Shield hmo_nonfac professional · fee schedule · outpatient | $111.54 | $111.54 | $111.54 – $111.54 |
| 21 | Blue Cross Blue Shield pathway enhanced_nonfac professional · fee schedule · outpatient | $116.02 | $116.02 | $116.02 – $116.02 |
| 22 | Blue Cross Blue Shield ppo_nonfac professional · fee schedule · outpatient | $116.02 | $116.02 | $116.02 – $116.02 |
| 23 | UnitedHealthcare all products_fac professional · fee schedule · outpatient | $116.17 | $116.17 | $116.17 – $116.17 |
| 24 | UnitedHealthcare all products_md_fac professional · fee schedule · outpatient | $116.49 | $116.49 | $116.49 – $116.49 |
| 25 | Cigna commercial_specialist_fac professional · fee schedule · outpatient | $128.26 | $128.26 | $128.26 – $128.26 |
Last updated: Dec 31, 2025
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.