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 CONTRACEPTIVE CAPSULE-RMVAL
Gig Harbor, WA
See all hospitals reporting CPT 11976 →Price type
Franciscan Health System’s median price of $1.2k is 55% above the median hospital's median price ($787), higher than 73% 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: 10 payers, 24 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 commercial|rental fee schedule · inpatient | $566.44 | $566.44 | $566.44 – $566.44 |
| 2 | Aetna commercial|rental fee schedule · outpatient | $566.44 | $566.44 | $566.44 – $566.44 |
| 3 | MultiPlan commercial|all plans fee schedule · inpatient | $590.04 | $590.04 | $590.04 – $590.04 |
| 4 | MultiPlan commercial|all plans fee schedule · outpatient | $590.04 | $590.04 | $590.04 – $590.04 |
| 5 | Kaiser medicare|all plans case rate · outpatient | $797.48 | $797.48 | $797.48 – $797.48 |
| 6 | Optum medicare|all plans case rate · outpatient | $805.45 | $805.45 | $805.45 – $805.45 |
| 7 | Aetna medicare|all plans case rate · outpatient | $821.40 | $821.40 | $821.40 – $821.40 |
| 8 | Premera medicare|all plans case rate · outpatient | $821.40 | $821.40 | $821.40 – $821.40 |
| 9 | Regence medicare|all plans case rate · outpatient | $821.40 | $821.40 | $821.40 – $821.40 |
| 10 | Humana medicare|all plans case rate · outpatient | $853.30 | $853.30 | $853.30 – $853.30 |
| 11 | Molina medicare|all plans case rate · outpatient | $861.28 | $861.28 | $861.28 – $861.28 |
| 12 | UnitedHealthcare medicare|all plans case rate · outpatient | $861.28 | $861.28 | $861.28 – $861.28 |
| 13 | Molina commercial|marketplace exchange case rate · outpatient | $1,531 | $1,531 | $1,531 – $1,531 |
| 14 | Premera commercial|lifewise primary exchange case rate · outpatient | $1,629 | $1,629 | $1,629 – $1,629 |
| 15 | Kaiser commercial|hmo fee schedule · outpatient | $1,766 | $1,766 | $1,766 – $1,766 |
| 16 | Kaiser commercial|ppo fee schedule · outpatient | $1,943 | $1,943 | $1,943 – $1,943 |
| 17 | Regence commercial|all plans case rate · outpatient | $2,071 | $2,071 | $2,071 – $2,071 |
| 18 | Premera commercial|all other plans case rate · outpatient | $2,354 | $2,354 | $2,354 – $2,354 |
| 19 | UnitedHealthcare commercial|navigate case rate · outpatient | $2,516 | $2,516 | $2,516 – $2,516 |
| 20 | UnitedHealthcare commercial|all other plans case rate · outpatient | $2,649 | $2,649 | $2,649 – $2,649 |
| 21 | UnitedHealthcare commercial|cascade care case rate · outpatient | $2,649 | $2,649 | $2,649 – $2,649 |
| 22 | Aetna commercial|awh case rate · outpatient | $2,983 | $2,983 | $2,983 – $2,983 |
| 23 | Aetna commercial|all other plans case rate · outpatient | $3,509 | $3,509 | $3,509 – $3,509 |
| 24 | Cigna commercial|all plans case rate · outpatient | $4,556 | $4,556 | $4,556 – $4,556 |
Last updated: Feb 28, 2026
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