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
Lake Charles, LA
See all hospitals reporting CPT 11976 →Price type
Ochsner St. Patrick Hospital’s median price of $670 is 15% below the median hospital's median price ($787), higher than 30% 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: 6 payers, 15 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 | Humana choicecare other · outpatient | $184.00 | $184.00 | $184.00 – $184.00 |
| 2 | Aetna mm fee schedule · outpatient | $650.15 | $650.15 | $650.15 – $650.15 |
| 3 | Bcbs La mm fee schedule · outpatient | $650.15 | $650.15 | $650.15 – $650.15 |
| 4 | Humana bh mm fee schedule · outpatient | $650.15 | $650.15 | $650.15 – $650.15 |
| 5 | Humana gold choice mm fee schedule · outpatient | $650.15 | $650.15 | $650.15 – $650.15 |
| 6 | UnitedHealthcare va ccn mm fee schedule · outpatient | $650.15 | $650.15 | $650.15 – $650.15 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $663.15 | $663.15 | $663.15 – $663.15 |
| 8 | WellCare mm fee schedule · outpatient | $682.66 | $682.66 | $682.66 – $682.66 |
| 9 | Bcbs La hmo fee schedule · outpatient | $1,300 | $1,300 | $1,300 – $1,300 |
| 10 | Bcbs La ppo fee schedule · outpatient | $1,300 | $1,300 | $1,300 – $1,300 |
| 11 | Bcbs La trad fee schedule · outpatient | $1,300 | $1,300 | $1,300 – $1,300 |
| 12 | Aetna new business case rate · outpatient | $1,360 | $1,360 | $1,360 – $1,360 |
| 13 | Aetna ppo case rate · outpatient | $1,600 | $1,600 | $1,600 – $1,600 |
| 14 | Cigna ppo case rate · outpatient | $3,930 | $3,930 | $3,930 – $3,930 |
| 15 | UnitedHealthcare all payer case rate · outpatient | $4,966 | $4,966 | $4,966 – $4,966 |
Last updated: Jan 13, 2026
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