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
San Bernardino, CA
See all hospitals reporting CPT 11976 →Price type
Community Hospital Of San Bernardino’s median price of $894 is 14% above the median hospital's median price ($787), higher than 59% 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Kaiser medicaid|< 21 fee schedule · outpatient | $114.37 | $114.37 | $114.37 – $114.37 |
| 2 | Kaiser medicaid|> 21 fee schedule · outpatient | $114.37 | $114.37 | $114.37 – $114.37 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $160.12 | $160.12 | $160.12 – $160.12 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $214.46 | $214.46 | $214.46 – $214.46 |
| 5 | Anthem medicare|all plans fee schedule · outpatient | $893.98 | $893.98 | $893.98 – $893.98 |
| 6 | Blue Cross Blue Shield medicare|all other plans case rate · outpatient | $893.98 | $893.98 | $893.98 – $893.98 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $893.98 | $893.98 | $893.98 – $893.98 |
| 8 | Kaiser medicare|all plans fee schedule · outpatient | $893.98 | $893.98 | $893.98 – $893.98 |
| 9 | Molina medicare|all plans fee schedule · outpatient | $893.98 | $893.98 | $893.98 – $893.98 |
| 10 | UnitedHealthcare medicare|all plans case rate · outpatient | $893.98 | $893.98 | $893.98 – $893.98 |
| 11 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $1,945 | $1,945 | $1,945 – $1,945 |
| 12 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $3,026 | $3,026 | $3,026 – $3,026 |
| 13 | Anthem commercial|all other plans case rate · outpatient | $3,046 | $3,046 | $3,046 – $3,046 |
| 14 | Anthem commercial|mcs case rate · outpatient | $3,808 | $3,808 | $3,808 – $3,808 |
Last updated: Feb 28, 2026
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