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
HC MAPS REMOVE CONTRACEPTIVE CAPSULE
Philadelphia, PA
See all hospitals reporting CPT 11976 →Price type
Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center’s median price of $358 is 55% below the median hospital's median price ($787), higher than 20% 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: 15 payers, 35 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 unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $60.09 | $60.09 | $60.09 – $60.09 |
| 2 | Bcbs Nj horizon blue cross of nj-hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $120.69 | $120.69 | $120.69 – $120.69 |
| 3 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $124.27 | $124.27 | $124.27 – $124.27 |
| 4 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $124.27 | $124.27 | $124.27 – $124.27 |
| 5 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $141.56 | $141.56 | $141.56 – $141.56 |
| 6 | UnitedHealthcare unitedhealthcare non options facility · percent of total billed charges · outpatientfrom % of charges | $180.59 | $180.59 | $180.59 – $180.59 |
| 7 | Blue Cross Blue Shield ibc traditional facility · percent of total billed charges · outpatientfrom % of charges | $183.40 | $183.40 | $183.40 – $183.40 |
| 8 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · percent of total billed charges · outpatientfrom % of charges | $184.43 | $184.43 | $184.43 – $184.43 |
| 9 | Blue Cross Blue Shield personal choice-ibc ppo facility · percent of total billed charges · outpatientfrom % of charges | $184.43 | $184.43 | $184.43 – $184.43 |
| 10 | UnitedHealthcare unitedhealthcare new business facility · percent of total billed charges · outpatientfrom % of charges | $206.96 | $206.96 | $206.96 – $206.96 |
| 11 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $223.50 | $223.50 | $223.50 – $223.50 |
| 12 | First Health first health global facility · percent of total billed charges · inpatientfrom % of charges | $223.50 | $223.50 | $223.50 – $223.50 |
| 13 | First Health first health global facility · percent of total billed charges · outpatientfrom % of charges | $223.50 | $223.50 | $223.50 – $223.50 |
| 14 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · outpatientfrom % of charges | $227.97 | $227.97 | $227.97 – $227.97 |
| 15 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · outpatientfrom % of charges | $272.67 | $272.67 | $272.67 – $272.67 |
| 16 | Humana humana choice care facility · percent of total billed charges · inpatientfrom % of charges | $357.60 | $357.60 | $357.60 – $357.60 |
| 17 | Humana humana choice care facility · percent of total billed charges · outpatientfrom % of charges | $357.60 | $357.60 | $357.60 – $357.60 |
| 18 | Aetna aetna hmo facility · percent of total billed charges · inpatientfrom % of charges | $447.00 | $447.00 | $447.00 – $447.00 |
| 19 | Bcbs Nj horizon blue cross of nj-indemnity facility · percent of total billed charges · inpatientfrom % of charges | $447.00 | $447.00 | $447.00 – $447.00 |
| 20 | Bcbs Nj horizon blue cross of nj-ppo facility · percent of total billed charges · inpatientfrom % of charges | $447.00 | $447.00 | $447.00 – $447.00 |
| 21 | Magellan magellan facility · percent of total billed charges · outpatientfrom % of charges | $447.00 | $447.00 | $447.00 – $447.00 |
| 22 | UnitedHealthcare unitedhealthcare community (fka americhoice ma) facility · case rate · inpatient | $447.00 | $447.00 | $447.00 – $447.00 |
| 23 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $740.66 | $740.66 | $740.66 – $740.66 |
| 24 | Medicare medicare facility · fee schedule · outpatient | $740.66 | $740.66 | $740.66 – $740.66 |
| 25 | Tricare tricare facility · fee schedule · outpatient | $744.31 | $744.31 | $744.31 – $744.31 |
Last updated: Mar 19, 2026
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