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 IMPLANTABLE CONTRACEPTIVE CAPSULES
Burlington, VT
See all hospitals reporting CPT 11976 →Price type
University of Vermont Medical Center Inc’s median price of $452 is 43% below the median hospital's median price ($787), higher than 22% 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, 25 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 managed medicaid/essential plans professional · fee schedule · both | $97.81 | $97.81 | $97.81 – $97.81 |
| 2 | Excellus managed medicaid/essential plans professional · fee schedule · both | $118.47 | $118.47 | $118.47 – $118.47 |
| 3 | Humana tricare professional · fee schedule · both | $124.90 | $124.90 | $114.77 – $135.03 |
| 4 | Aetna medicare advantage professional · fee schedule · both | $130.98 | $130.98 | $120.36 – $141.60 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $140.90 | $140.90 | $140.90 – $140.90 |
| 6 | Excellus medicare advantage professional · fee schedule · both | $141.60 | $141.60 | $141.60 – $141.60 |
| 7 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $205.52 | $205.52 | $205.52 – $205.52 |
| 8 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $214.94 | $214.94 | $197.51 – $232.37 |
| 9 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $352.32 | $352.32 | $352.32 – $352.32 |
| 10 | Excellus commercial professional · fee schedule · both | $372.31 | $372.31 | $372.31 – $372.31 |
| 11 | Cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $440.40 | $440.40 | $440.40 – $440.40 |
| 12 | Blue Cross Blue Shield hmo professional · percent of total billed charges · bothfrom % of charges | $452.29 | $452.29 | $452.29 – $452.29 |
| 13 | Bcbs Vt indemnity professional · fee schedule · both | $521.90 | $521.90 | $521.90 – $521.90 |
| 14 | Bcbs Vt the vermont health plan/vermont health partnership professional · fee schedule · both | $521.90 | $521.90 | $521.90 – $521.90 |
| 15 | Cigna commercial professional · fee schedule · both | $521.90 | $521.90 | $521.90 – $521.90 |
| 16 | Bcbs Vt the vermont health plan/vermont health partnership facility · percent of total billed charges · outpatientfrom % of charges | $562.24 | $562.24 | $562.24 – $562.24 |
| 17 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $572.52 | $572.52 | $572.52 – $572.52 |
| 18 | Bcbs Vt indemnity facility · percent of total billed charges · outpatientfrom % of charges | $637.11 | $637.11 | $637.11 – $637.11 |
| 19 | UnitedHealthcare commercial professional · fee schedule · both | $640.58 | $640.58 | $640.58 – $640.58 |
| 20 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $662.80 | $662.80 | $662.80 – $662.80 |
| 21 | Humana tricare facility · fee schedule · outpatient | $703.59 | $703.59 | $703.59 – $703.59 |
| 22 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $721.96 | $721.96 | $721.96 – $721.96 |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $722.55 | $722.55 | $722.55 – $722.55 |
| 24 | Aetna medicare advantage facility · fee schedule · outpatient | $780.88 | $780.88 | $780.88 – $780.88 |
| 25 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $780.88 | $780.88 | $780.88 – $780.88 |
Last updated: Oct 12, 2026
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