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 US Retroperitoneal Limited|PROFESSIONAL COMPONENT
Low
$0
Average
$337
Median
$232
High
$10.6k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
1449 hospitals; the 90th percentile is 6.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,408 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $224 | $224 | $120 | 53% | 330 | $104 – $343 |
| 2 | Capital Health System Inc Browns Mills, NJ percent of total billed charges · outpatientfrom % of charges | 4 | $169 | $148 | $49 | 33% | 266 | $72 – $194 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $104 | $104 | — | — | 192 | $104 – $104 |
| 4 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $53 | $53 | — | — | 119–182 | $53 – $53 |
| 5 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | 119–182 | $53 – $53 |
| 6 | Piedmont Atlanta Atlanta, GA fee schedule · both | 2 | $103 | $103 | $0 | 0% | 105 | $103 – $103 |
| 7 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 2 | $103 | $103 | — | — | 100 | $103 – $103 |
| 8 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $550 | $550 | $230 | 42% | 81–90 | $319 – $780 |
| 9 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $108 | $108 | — | — | 78 | $108 – $108 |
| 10 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $108 | $108 | — | — | 78 | $108 – $108 |
| 11 | Virtua_West_Jersey_Health_System_Inc Marlton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | 73 | $1.5k – $1.5k |
| 12 | Virtua_West_Jersey_Health_System_Inc Voorhees, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | — | — | 73 | $1.5k – $1.5k |
| 13 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $945 | $960 | $25 | 3% | 70 | $945 – $1.0k |
| 14 | St. Peter's Health Helena, MT fee schedule · outpatient | 1 | $106 | $106 | — | — | 64 | $106 – $106 |
| 15 | Mercy Health Saint Marys Rockford, MI facility · other · both | 2 | $80 | $80 | $22 | 27% | 59 | $58 – $102 |
| 16 | Mercy Health Saint Marys Rockford, MI facility · other · outpatient | 2 | $80 | $80 | $22 | 27% | 59 | $58 – $102 |
| 17 | Northwestern Medicine Delnor Hospital Geneva, IL other · outpatient | 2 | $103 | $103 | $8 | 8% | 51 | $95 – $111 |
| 18 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 46–145 | $60 – $60 |
| 19 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $843 | $843 | $36 | 4% | 42–96 | $808 – $879 |
| 20 | West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges | 2 | $654 | $670 | $31 | 5% | 38–74 | $654 – $744 |
| 21 | Mercy Fitzgerald Hospital Darby, PA facility · other · both | 1 | $107 | $107 | — | — | 37 | $107 – $107 |
| 22 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $71 | $71 | — | — | 37–109 | $71 – $71 |
| 23 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $365 | $365 | — | — | 33 | $365 – $365 |
| 24 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $333 | $344 | $125 | 36% | 32–113 | $128 – $493 |
| 25 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $333 | $344 | $125 | 36% | 32–113 | $128 – $493 |
← Payers reporting CPT 76775 · Snapshot 20261111T120946Z-9134e7f7