Limited obstetric ultrasound of fetus

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ICU POC US OBGYN

Payers reporting CPT 76815

Payer pricing summary

Low

$65

Average

$424

Median

$241

High

$4.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +44 other terms	785	$179	$199	$278	140%	490–877	$1 – $8.8k
2	Aetna fee schedule · outpatient · +41 other terms	720	$134	$270	$381	141%	408–831	$1 – $10.1k
3	Molina fee schedule · outpatient · +35 other terms	265	$108	$110	$49	45%	339–411	$1 – $504
4	Blue Cross Blue Shield fee schedule · outpatient · +39 other terms	540	$183	$213	$185	87%	304–403	$1 – $3.3k
5	Anthem fee schedule · outpatient · +37 other terms	204	$207	$170	$174	102%	298–595	$2 – $1.9k
6	Cigna fee schedule · outpatient · +38 other terms	518	$227	$280	$218	78%	218–362	$25 – $2.3k
7	Bcbs Al facility · other · outpatient · +5 other terms	6	$137	$110	$48	43%	43–169	$46 – $175
8	Bcbs In other · both · +1 other terms	11	$381	$394	$62	16%	29–119	$254 – $507
9	Kaiser fee schedule · outpatient · +30 other terms	112	$166	$221	$238	108%	23–32	$27 – $1.5k
10	Medicare other · both · +22 other terms	43	$111	$127	$60	48%	3–30	$97 – $483
11	Humana fee schedule · outpatient · +34 other terms	440	$114	$169	$256	151%	2–20	$1 – $6.3k
12	Wellmark facility · fee schedule · both · +29 other terms	28	$138	$180	$92	51%	2–20	$99 – $437
13	Bcbs Ar fee schedule · both	1	$106	$106	—	—	2–20	$106 – $106
14	Aetna Better Health fee schedule · outpatient · +23 other terms	90	$88	$98	$45	45%	1–10	$56 – $385
15	First Health fee schedule · outpatient · +21 other terms	67	$303	$355	$432	122%	1–10	$38 – $1.8k
16	Medica fee schedule · outpatient · +26 other terms	46	$180	$193	$160	83%	1–10	$25 – $859
17	Ucare professional · fee schedule · outpatient · +22 other terms	33	$52	$51	$30	58%	1–10	$10 – $178
18	WellCare fee schedule · outpatient · +29 other terms	192	$113	$116	$42	37%	—	$25 – $396
19	MultiPlan fee schedule · outpatient · +25 other terms	139	$508	$512	$545	106%	—	$41 – $3.1k
20	Ambetter fee schedule · outpatient · +25 other terms	109	$181	$166	$95	57%	—	$16 – $766
21	Devoted facility · fee schedule · outpatient · +21 other terms	104	$105	$128	$315	245%	—	$43 – $4.9k
22	Tricare facility · fee schedule · outpatient · +23 other terms	89	$105	$167	$335	200%	—	$43 – $4.6k
23	Caresource fee schedule · outpatient · +22 other terms	82	$123	$141	$49	35%	—	$1 – $499
24	Highmark facility · fee schedule · outpatient · +23 other terms	74	$161	$212	$367	173%	—	$23 – $3.3k
25	Oscar facility · fee schedule · outpatient · +23 other terms	71	$153	$139	$49	35%	—	$42 – $351

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