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
$24
Average
$4.4k
Median
$494
High
$2644.4k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
683 hospitals; the 90th percentile is 6.3× 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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1,046 hospital rates
iThe hospitals that file a First Health 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 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $288 | $288 | $29 | 10% | 18 | $258 – $317 |
| 2 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $203 | $203 | — | — | 8–80 | $203 – $203 |
| 3 | Baystate Wing Hospital Palmer, MA percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | 3–30 | $25 – $25 |
| 4 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 1 | $465 | $460 | $6 | 1% | 3–30 | $452 – $465 |
| 5 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 1 | $465 | $460 | $6 | 1% | 3–30 | $452 – $465 |
| 6 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 1 | $465 | $460 | $6 | 1% | 3–30 | $452 – $465 |
| 7 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 1 | $465 | $460 | $6 | 1% | 3–30 | $452 – $465 |
| 8 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · inpatientfrom % of charges | 1 | $465 | $460 | $6 | 1% | 3–30 | $452 – $465 |
| 9 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · outpatientfrom % of charges | 1 | $465 | $460 | $6 | 1% | 3–30 | $452 – $465 |
| 10 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · percent of total billed charges · bothfrom % of charges | 1 | $132 | $132 | $49 | 37% | 2–20 | $83 – $181 |
| 11 | University of Arkansas for Medical Sciences Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | — | — | 2–20 | $61 – $61 |
| 12 | DIGNITY COMMUNITY CARE Chandler, AZ fee schedule · outpatient | 2 | $296 | $296 | $249 | 84% | 1–10 | $48 – $545 |
| 13 | DIGNITY HEALTH Gilbert, AZ fee schedule · outpatient | 2 | $329 | $329 | $216 | 66% | 1–10 | $113 – $545 |
| 14 | Fairview Health Services Edina, MN percent of total billed charges · bothfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 15 | Fairview Health Services Burnsville, MN percent of total billed charges · bothfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 16 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $465 | $465 | — | — | 1–10 | $465 – $465 |
| 17 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $465 | $465 | — | — | 1–10 | $465 – $465 |
| 18 | HealthEast Woodwinds Hospital Woodbury, MN percent of total billed charges · bothfrom % of charges | 1 | $71 | $71 | — | — | 1–10 | $71 – $71 |
| 19 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $465 | $465 | — | — | 1–10 | $465 – $465 |
| 20 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $465 | $465 | — | — | 1–10 | $465 – $465 |
| 21 | Range Regional Health Services Hibbing, MN professional · percent of total billed charges · bothfrom % of charges | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 22 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $342 | $342 | — | — | 1–10 | $342 – $342 |
| 23 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $666 | $565 | $209 | 37% | — | $274 – $756 |
| 24 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $565 | $565 | — | — | — | $565 – $565 |
| 25 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $544 | $544 | — | — | — | $544 – $544 |
← Payers reporting CPT 76857 · Snapshot 20261111T120946Z-9134e7f7