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 [DXRAD]
Brownwood, TX
See all hospitals reporting CPT 11976 →Price type
Hendrick Medical Center’s median price of $2.8k is 253% above the median hospital's median price ($787), higher than 94% 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: 5 payers, 16 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 medicare advantage facility · case rate · outpatient | $711.36 | $711.36 | $711.36 – $711.36 |
| 2 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,450 | $1,450 | $1,450 – $1,450 |
| 3 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,450 | $1,450 | $1,450 – $1,450 |
| 4 | Ambetter marketplace facility · case rate · outpatient | $1,615 | $1,615 | $1,615 – $1,615 |
| 5 | Bcbs Tx marketplace facility · percent of total billed charges · inpatientfrom % of charges | $2,335 | $2,335 | $2,335 – $2,335 |
| 6 | Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges | $2,434 | $2,434 | $2,434 – $2,434 |
| 7 | Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges | $2,631 | $2,631 | $2,631 – $2,631 |
| 8 | Bcbs Tx traditional facility · percent of total billed charges · inpatientfrom % of charges | $2,762 | $2,762 | $2,762 – $2,762 |
| 9 | Aetna hmo/ppo/pos facility · percent of total billed charges · inpatientfrom % of charges | $2,795 | $2,795 | $2,795 – $2,795 |
| 10 | Aetna hmo/ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $2,795 | $2,795 | $2,795 – $2,795 |
| 11 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,960 | $2,960 | $2,960 – $2,960 |
| 12 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,960 | $2,960 | $2,960 – $2,960 |
| 13 | Bcbs Tx hmo facility · fee schedule · outpatient | $4,353 | $4,353 | $4,353 – $4,353 |
| 14 | Bcbs Tx marketplace facility · fee schedule · outpatient | $4,353 | $4,353 | $4,353 – $4,353 |
| 15 | Bcbs Tx ppo facility · fee schedule · outpatient | $4,353 | $4,353 | $4,353 – $4,353 |
| 16 | Bcbs Tx traditional facility · fee schedule · outpatient | $4,353 | $4,353 | $4,353 – $4,353 |
Last updated: Oct 1, 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.