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
Limited US Pelvic (Non-OB)
Low
$1
Average
$1.3k
Median
$222
High
$2181.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
2173 hospitals; the 90th percentile is 7.9× 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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3,958 hospital rates
iThe hospitals that file a Aetna 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $906 | $881 | $181 | 21% | 576 | $625 – $1.1k |
| 2 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $238 | $238 | $169 | 71% | 73–100 | $69 – $406 |
| 3 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA percent of total billed charges · outpatientfrom % of charges | 1 | $310 | $310 | — | — | 63 | $310 – $310 |
| 4 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $104 | $134 | $70 | 52% | 60 | $75 – $270 |
| 5 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $333 | $430 | $225 | 52% | 60 | $242 – $867 |
| 6 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 2 | $316 | $274 | $74 | 27% | 44 | $145 – $316 |
| 7 | RESTON HOSPITAL CENTER Reston, VA percent of total billed charges · outpatientfrom % of charges | 1 | $374 | $374 | — | — | 36 | $374 – $374 |
| 8 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $768 | $768 | — | — | 24 | $768 – $768 |
| 9 | HCA FLORIDA NORTHWEST HOSPITAL MARGATE, FL percent of total billed charges · outpatientfrom % of charges | 4 | $392 | $452 | $394 | 87% | 24–42 | $67 – $959 |
| 10 | Boston Medical Center Boston, MA other · both | 1 | $121 | $121 | — | — | 16 | $121 – $121 |
| 11 | Sanford Medical Center Bismarck Bismarck, ND percent of total billed charges · outpatientfrom % of charges | 1 | $481 | $481 | — | — | 15 | $481 – $481 |
| 12 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 1 | $352 | $352 | — | — | 13 | $352 – $352 |
| 13 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $44 | $44 | — | — | 13 | $44 – $44 |
| 14 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $103 | $103 | — | — | 12 | $103 – $103 |
| 15 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $103 | $103 | — | — | 12 | $103 – $103 |
| 16 | University of Virginia Medical Center Charlottesville, VA fee schedule · outpatient | 4 | $2.1k | $1.9k | $318 | 17% | 12–21 | $1.2k – $2.1k |
| 17 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $110 | $110 | — | — | 11 | $110 – $110 |
| 18 | Holy Redeemer Health System Meadowbrook, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $554 | $464 | $120 | 26% | 11–110 | $282 – $554 |
| 19 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 3 | $718 | $695 | $48 | 7% | 11 | $614 – $730 |
| 20 | OU Health - University of Oklahoma Medical Center Edmond, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $484 | $484 | $82 | 17% | 10–100 | $402 – $566 |
| 21 | DIGNITY HEALTH Santa Maria, CA fee schedule · outpatient | 4 | $380 | $319 | $106 | 33% | 9–90 | $135 – $380 |
| 22 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $203 | $203 | — | — | 8–80 | $203 – $203 |
| 23 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $449 | $449 | $17 | 4% | 8–80 | $432 – $465 |
| 24 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $393 | $468 | $282 | 60% | 8–80 | $149 – $842 |
| 25 | Mon Health Medical Center Morgantown, WV fee schedule · outpatient | 2 | $76 | $76 | $25 | 33% | 8–80 | $51 – $101 |
← Payers reporting CPT 76857 · Snapshot 20261111T120946Z-9134e7f7