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
PR REMOVAL OF CONTRACEPTIVE CAPSUL
Shreveport, LA
See all hospitals reporting CPT 11976 →Price type
Ochsner Lsu Health Shreveport - St. Mary Medical Center, Llc’s median price of $649 is 18% below the median hospital's median price ($787), higher than 28% 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, 14 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 Better Health all payor other · outpatient | $380.61 | $380.61 | $380.61 – $380.61 |
| 2 | Amerihealth Caritas all payor other · outpatient | $380.61 | $380.61 | $380.61 – $380.61 |
| 3 | UnitedHealthcare all payor other · outpatient | $380.61 | $380.61 | $380.61 – $380.61 |
| 4 | Humana all payor other · outpatient | $503.23 | $503.23 | $380.61 – $625.84 |
| 5 | Aetna all payor fee schedule · outpatient | $648.54 | $648.54 | $648.54 – $648.54 |
| 6 | Humana all payor fee schedule · outpatient | $648.54 | $648.54 | $648.54 – $648.54 |
| 7 | Optum all payor fee schedule · outpatient | $648.54 | $648.54 | $648.54 – $648.54 |
| 8 | UnitedHealthcare all payor fee schedule · outpatient | $648.54 | $648.54 | $648.54 – $648.54 |
| 9 | Cigna all payor case rate · outpatient | $988.00 | $988.00 | $988.00 – $988.00 |
| 10 | Bcbs La all payor fee schedule · outpatient | $1,120 | $1,059 | $648.54 – $1,287 |
| 11 | Aetna all payor case rate · outpatient | $1,273 | $1,273 | $1,273 – $1,273 |
| 12 | First Health all payor other · outpatient | $1,273 | $1,273 | $1,273 – $1,273 |
| 13 | MultiPlan all payor other · outpatient | $1,321 | $1,321 | $1,321 – $1,321 |
| 14 | UnitedHealthcare all payor case rate · outpatient | $1,711 | $1,711 | $1,513 – $1,909 |
Last updated: Apr 1, 2026
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