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
Removal, implantable contraceptive capsules
Dallas, TX
See all hospitals reporting CPT 11976 →Price type
Medical City Dallas’s median price of $948 is 21% above the median hospital's median price ($787), higher than 63% 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: 11 payers, 42 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Cigna Healthspring mgmcd fee schedule · outpatient | $64.83 | $64.83 | $64.83 – $64.83 |
| 2 | Molina chip fee schedule · outpatient | $68.53 | $68.53 | $67.91 – $69.15 |
| 3 | Molina mcdstar fee schedule · outpatient | $68.53 | $68.53 | $67.91 – $69.15 |
| 4 | Molina star+plus fee schedule · outpatient | $68.53 | $68.53 | $67.91 – $69.15 |
| 5 | Molina starkids fee schedule · outpatient | $68.53 | $68.53 | $67.91 – $69.15 |
| 6 | Aetna Better Health chip fee schedule · outpatient | $74.09 | $74.09 | $74.09 – $74.09 |
| 7 | Aetna Better Health mcd fee schedule · outpatient | $74.09 | $74.09 | $74.09 – $74.09 |
| 8 | Humana mgmcd fee schedule · outpatient | $77.17 | $77.17 | $77.17 – $77.17 |
| 9 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $98.06 | $98.06 | $98.06 – $98.06 |
| 10 | UnitedHealthcare chip case rate · outpatient | $146.75 | $146.75 | $146.75 – $146.75 |
| 11 | UnitedHealthcare star case rate · outpatient | $146.75 | $146.75 | $146.75 – $146.75 |
| 12 | UnitedHealthcare starkids case rate · outpatient | $146.75 | $146.75 | $146.75 – $146.75 |
| 13 | UnitedHealthcare starperinate case rate · outpatient | $146.75 | $146.75 | $146.75 – $146.75 |
| 14 | UnitedHealthcare starplus case rate · outpatient | $146.75 | $146.75 | $146.75 – $146.75 |
| 15 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $326.61 | $326.61 | $326.61 – $326.61 |
| 16 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $326.61 | $326.61 | $326.61 – $326.61 |
| 17 | Humana comm fee schedule · outpatient | $340.66 | $340.66 | $340.66 – $340.66 |
| 18 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $420.15 | $420.15 | $420.15 – $420.15 |
| 19 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $420.15 | $420.15 | $420.15 – $420.15 |
| 20 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $441.27 | $441.27 | $441.27 – $441.27 |
| 21 | Blue Cross Blue Shield ppo fee schedule · outpatient | $461.63 | $461.63 | $461.63 – $461.63 |
| 22 | Superior Healthplan chip case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 23 | Superior Healthplan mcdstar case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 24 | Superior Healthplan starhealth case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
| 25 | Superior Healthplan starkids case rate · outpatient | $948.00 | $948.00 | $948.00 – $948.00 |
Last updated: Mar 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.