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
$25
Average
$267
Median
$112
High
$5.9k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
312 hospitals; the 90th percentile is 9.2× 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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429 hospital rates
iThe hospitals that file a Optum 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 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $86 | $86 | — | — | 94 | $86 – $86 |
| 2 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $79 | $79 | — | — | 50 | $79 – $79 |
| 3 | Boston Children's Hospital Boston, MA case rate · both | 1 | $786 | $786 | — | — | 39 | $786 – $786 |
| 4 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $105 | $105 | — | — | 23 | $105 – $105 |
| 5 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $105 | $105 | — | — | 23 | $105 – $105 |
| 6 | Vanderbilt Clarksville Hospital Clarksville, TN other · outpatient | 1 | $108 | $108 | — | — | 20 | $108 – $108 |
| 7 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $61 | $61 | — | — | 13 | $61 – $61 |
| 8 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $73 | $73 | — | — | 11 | $73 – $73 |
| 9 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $0 | 0% | 4–40 | $1.2k – $1.2k |
| 10 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | — | — | 3–30 | $123 – $123 |
| 11 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $116 | $68 | 59% | 3–30 | $40 – $205 |
| 12 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | 3–30 | $143 – $143 |
| 13 | ARH Tug Valley Health Services, Inc. Paintsville, KY other · outpatient | 1 | $67 | $67 | — | — | 3–30 | $67 – $67 |
| 14 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $56 | $56 | — | — | 3–30 | $56 – $56 |
| 15 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $92 | $92 | — | — | 3–30 | $92 – $92 |
| 16 | Fairview Health Services Princeton, MN other · inpatient | 1 | $108 | $108 | — | — | 3–30 | $108 – $108 |
| 17 | Fairview Health Services Princeton, MN other · outpatient | 1 | $108 | $108 | — | — | 3–30 | $108 – $108 |
| 18 | Prairie Lakes Health Care System Inc. Watertown, SD fee schedule · both | 6 | $114 | $114 | — | — | 2–20 | $114 – $114 |
| 19 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 3 | $125 | $227 | $153 | 67% | 1–10 | $113 – $443 |
| 20 | Fairview Health Services Princeton, MN other · both | 1 | $108 | $108 | — | — | 1–10 | $108 – $108 |
| 21 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $27 | $38 | $16 | 43% | 1–10 | $27 – $61 |
| 23 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $108 | $108 | — | — | 1–10 | $108 – $108 |
| 24 | Springhill Memorial Hospital Mobile, AL other · outpatient | 1 | $69 | $69 | — | — | 1–10 | $69 – $69 |
| 25 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $320 | $320 | $103 | 32% | 1–10 | $217 – $422 |
← Payers reporting CPT 76775 · Snapshot 20261111T120946Z-9134e7f7