Limited ultrasound of arm or leg, non-vascular

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

Us Non-Vascular Ext Limited

Tricare pricing summary

Low

Average

$115

Median

$103

High

$1.2k

Tricare rate distribution

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431 hospital rates

#		Plans
1	ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient	2	$117	$224	$261	117%	13	$43 – $803
2	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$107	$90	$29	33%	4–40	$39 – $107
3	OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient	1	$90	$90	—	—	4–40	$90 – $90
4	CORNING HOSPITAL Corning, NY facility · other · outpatient	2	$126	$126	—	—	3–30	$126 – $126
5	DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient	1	$110	$110	—	—	3–30	$110 – $110
6	GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient	1	$135	$135	—	—	3–30	$135 – $135
7	ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient	2	$117	$117	—	—	3–30	$117 – $117
8	NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient	1	$107	$107	—	—	1–10	$107 – $107
9	PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both	1	$98	$98	—	—	1–10	$98 – $98
10	PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both	1	$100	$100	—	—	1–10	$100 – $100
11	PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both	1	$100	$100	—	—	1–10	$100 – $100
12	PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both	1	$100	$100	—	—	1–10	$100 – $100
13	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient	1	$94	$94	—	—	1–10	$94 – $94
14	Springhill Memorial Hospital Mobile, AL other · outpatient	1	$98	$98	—	—	1–10	$98 – $98
15	St Peters Hospital Albany, NY professional · fee schedule · outpatient	1	$53	$53	$5	9%	1–10	$48 – $58
16	The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient	1	$92	$92	—	—	1–10	$92 – $92
17	The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient	1	$92	$92	—	—	1–10	$92 – $92
18	The Mercy Hospital Inc Springfield, MA professional · fee schedule · outpatient	1	$47	$47	$16	33%	1–10	$31 – $62
19	ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient	1	$97	$97	—	—	—	$97 – $97
20	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$31	$40	$14	36%	—	$26 – $60
21	Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient	1	$91	$91	—	—	—	$91 – $91
22	AnMed Health Anderson, SC professional · fee schedule · inpatient	1	$45	$45	$15	33%	—	$28 – $60
23	AnMed Health Anderson, SC professional · fee schedule · outpatient	1	$45	$45	$15	33%	—	$28 – $60
24	AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient	1	$45	$45	$15	33%	—	$28 – $60
25	AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient	1	$45	$45	$15	33%	—	$28 – $60

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CPT 76882