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 REMOVAL OF CONTRACEPTIVE CAPSULE
Newburgh, IN
See all hospitals reporting CPT 11976 →Price type
Deaconess Hospital, Inc’s median price of $262 is 67% below the median hospital's median price ($787), higher than 17% 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: 13 payers, 54 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 | Anthem commercial professional · fee schedule · both | $82.70 | $82.70 | $82.70 – $82.70 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $82.70 | $82.70 | $82.70 – $82.70 |
| 3 | Caresource medicare advantage professional · fee schedule · both | $82.70 | $82.70 | $82.70 – $82.70 |
| 4 | Humana commercial professional · fee schedule · both | $82.70 | $82.70 | $82.70 – $82.70 |
| 5 | Humana medicare advantage professional · fee schedule · both | $82.70 | $82.70 | $82.70 – $82.70 |
| 6 | Molina dual medicare/medicaid professional · fee schedule · both | $82.70 | $82.70 | $82.70 – $82.70 |
| 7 | Molina medicare advantage professional · fee schedule · both | $82.70 | $82.70 | $82.70 – $82.70 |
| 8 | WellCare medicare advantage professional · fee schedule · both | $82.70 | $82.70 | $82.70 – $82.70 |
| 9 | Bcbs Il dual medicare/medicaid professional · fee schedule · both | $84.35 | $84.35 | $84.35 – $84.35 |
| 10 | Bcbs Il medicare advantage professional · fee schedule · both | $84.35 | $84.35 | $84.35 – $84.35 |
| 11 | Anthem hmo professional · fee schedule · both | $89.40 | $89.40 | $89.40 – $89.40 |
| 12 | Anthem hmo/ppo/traditional professional · fee schedule · both | $89.40 | $89.40 | $89.40 – $89.40 |
| 13 | Bcbs Il managed medicaid professional · fee schedule · both | $92.46 | $92.46 | $92.46 – $92.46 |
| 14 | Aetna Better Health managed medicaid professional · fee schedule · both | $93.16 | $93.16 | $92.46 – $93.85 |
| 15 | Molina managed medicaid professional · fee schedule · both | $93.16 | $93.16 | $92.46 – $93.85 |
| 16 | Humana managed medicaid professional · fee schedule · both | $93.85 | $93.85 | $93.85 – $93.85 |
| 17 | WellCare managed medicaid professional · fee schedule · both | $93.85 | $93.85 | $93.85 – $93.85 |
| 18 | Ambetter commercial professional · fee schedule · both | $95.10 | $95.10 | $95.10 – $95.10 |
| 19 | Caresource commercial professional · fee schedule · both | $107.51 | $107.51 | $107.51 – $107.51 |
| 20 | UnitedHealthcare managed medicaid professional · fee schedule · both | $113.02 | $113.02 | $93.85 – $132.18 |
| 21 | Anthem managed medicaid professional · fee schedule · both | $132.18 | $132.18 | $132.18 – $132.18 |
| 22 | Caresource managed medicaid professional · fee schedule · both | $132.18 | $132.18 | $132.18 – $132.18 |
| 23 | UnitedHealthcare commercial professional · fee schedule · both | $167.44 | $139.19 | $82.70 – $167.44 |
| 24 | Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $214.48 | $214.48 | $214.48 – $214.48 |
| 25 | Humana managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $214.48 | $214.48 | $214.48 – $214.48 |
Last updated: Feb 13, 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.