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 REM IMPLANT CONTRACEPT CAPS
Philadelphia, PA
See all hospitals reporting CPT 11976 →Price type
Temple Health - Chestnut Hill Hospital’s median price of $764 is 3% below the median hospital's median price ($787), higher than 47% 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: 7 payers, 23 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 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $172.34 | $172.34 | $172.34 – $172.34 |
| 2 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $172.34 | $172.34 | $172.34 – $172.34 |
| 3 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $172.34 | $172.34 | $172.34 – $172.34 |
| 4 | Bcbs Pa indemnity facility · fee schedule · outpatient | $523.99 | $523.99 | $523.99 – $523.99 |
| 5 | Bcbs Pa tiered ppaca facility · fee schedule · outpatient | $545.76 | $545.76 | $545.76 – $545.76 |
| 6 | Bcbs Pa hmo/ppo facility · fee schedule · outpatient | $574.50 | $574.50 | $574.50 – $574.50 |
| 7 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $727.51 | $727.51 | $727.51 – $727.51 |
| 8 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · fee schedule · outpatient | $727.51 | $727.51 | $727.51 – $727.51 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $727.51 | $727.51 | $727.51 – $727.51 |
| 10 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $727.51 | $727.51 | $727.51 – $727.51 |
| 11 | Highmark medicare advantage facility · fee schedule · outpatient | $742.06 | $742.06 | $742.06 – $742.06 |
| 12 | Humana medicare advantage facility · fee schedule · outpatient | $749.34 | $749.34 | $749.34 – $749.34 |
| 13 | Cigna medicare hmo facility · fee schedule · outpatient | $756.61 | $756.61 | $756.61 – $756.61 |
| 14 | Cigna medicare ppo facility · fee schedule · outpatient | $756.61 | $756.61 | $756.61 – $756.61 |
| 15 | Aetna medicare advantage facility · fee schedule · outpatient | $785.71 | $785.71 | $785.71 – $785.71 |
| 16 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $1,120 | $1,120 | $1,120 – $1,120 |
| 17 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $1,120 | $1,120 | $1,120 – $1,120 |
| 18 | Cigna commercial facility · case rate · outpatient | $1,313 | $1,313 | $1,313 – $1,313 |
| 19 | Highmark commercial facility · fee schedule · outpatient | $2,318 | $2,318 | $2,318 – $2,318 |
| 20 | UnitedHealthcare community plan facility · case rate · outpatient | $2,354 | $2,354 | $2,354 – $2,354 |
| 21 | UnitedHealthcare commercial facility · case rate · outpatient | $2,656 | $2,656 | $2,656 – $2,656 |
| 22 | UnitedHealthcare chip facility · case rate · outpatient | $2,661 | $2,661 | $2,661 – $2,661 |
| 23 | Aetna commercial facility · case rate · outpatient | $5,350 | $5,350 | $5,350 – $5,350 |
Last updated: Apr 8, 2026
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