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
Twp, MI
See all hospitals reporting CPT 11976 →Price type
Henry Ford Health’s median price of $410 is 48% below the median hospital's median price ($787), higher than 21% 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: 3 payers, 5 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 | Blue Cross Blue Shield 614_bcn non pho 20220401 other · outpatient | $107.08 | $107.08 | $107.08 – $107.08 |
| 2 | Blue Cross Blue Shield 615_blue cross blue shield traditional 20220401 fee schedule · outpatient | $107.08 | $107.08 | $107.08 – $107.08 |
| 3 | Blue Cross Blue Shield 616_blue cross blue shield trust non pho 20220401 other · outpatient | $107.08 | $107.08 | $107.08 – $107.08 |
| 4 | Cigna 638_cigna 20241001 other · outpatient | $288.96 | $288.96 | $288.96 – $288.96 |
| 5 | Medicaid 649_mi medicaid outpatient 20250101 other · outpatient | $409.58 | $409.58 | $409.58 – $409.58 |
Last updated: Jan 1, 2026
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