Limited pelvic ultrasound exam

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

Limited US Pelvic (Non-OB)

Ambetter pricing summary

Low

Average

$231

Median

$174

High

$3.6k

Ambetter rate distribution

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620 hospital rates

#		Plans
1	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient	1	$238	$238	—	—	58	$238 – $238
2	PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both	1	$182	$182	—	—	11	$182 – $182
3	PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both	1	$182	$182	—	—	11	$182 – $182
4	Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$241	$241	$141	58%	2–20	$101 – $382
5	Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges	1	$298	$298	$170	57%	2–20	$127 – $468
6	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$139	$139	—	—	2–20	$139 – $139
7	Lake Regional Health System Osage Beach, MO fee schedule · both	1	$150	$150	—	—	2–20	$150 – $150
8	Mercy Hospital Ardmore Inc Ardmore, OK facility · other · outpatient	1	$145	$145	—	—	1–10	$145 – $145
9	Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient	1	$133	$133	—	—	1–10	$133 – $133
10	Morrison Community Hospital District Morrison, IL facility · fee schedule · both	1	$233	$233	—	—	1–10	$233 – $233
11	Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges	1	$107	$107	—	—	1–10	$107 – $107
12	PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both	1	$185	$185	—	—	1–10	$185 – $185
13	PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both	1	$183	$183	—	—	1–10	$183 – $183
14	PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both	1	$183	$183	—	—	1–10	$183 – $183
15	PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC other · both	1	$184	$184	—	—	1–10	$184 – $184
16	PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both	1	$196	$196	—	—	1–10	$196 – $196
17	PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both	1	$183	$183	—	—	1–10	$183 – $183
18	PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both	1	$185	$185	—	—	1–10	$185 – $185
19	PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both	1	$180	$180	—	—	1–10	$180 – $180
20	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · outpatient	1	$244	$244	—	—	1–10	$244 – $244
21	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient	1	$227	$227	—	—	1–10	$227 – $227
22	The Charlotte Mecklenburg Hospital Authority Huntersville, NC percent of total billed charges · outpatientfrom % of charges	2	$65	$65	$7	10%	1–10	$59 – $72
23	The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges	1	$237	$237	—	—	1–10	$237 – $237
24	The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges	1	$110	$110	—	—	1–10	$110 – $110
25	The University of Kansas Health System Great Bend Campus Bend, KS other · both	1	$142	$142	—	—	1–10	$142 – $142

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CPT 76857