Limited infant hip ultrasound with static imaging

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

HC US INFANT HIPS W/O MANIPULATIN

Payers reporting CPT 76886

Payer pricing summary

Low

$63

Average

$249

Median

$225

High

$817

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	446	$163	$187	$148	79%	79	$1 – $1.5k
2	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$202	$202	—	—	63	$202 – $202
3	UnitedHealthcare fee schedule · outpatient · +35 other terms	641	$128	$146	$175	119%	1–10	$1 – $4.2k
4	Aetna fee schedule · outpatient · +33 other terms	592	$142	$311	$532	171%	—	$1 – $9.1k
5	Cigna fee schedule · outpatient · +26 other terms	422	$201	$234	$131	56%	—	$29 – $1.1k
6	Humana fee schedule · outpatient · +28 other terms	348	$96	$220	$484	220%	—	$27 – $8.3k
7	Molina fee schedule · outpatient · +28 other terms	210	$96	$106	$48	45%	—	$20 – $557
8	Anthem fee schedule · outpatient · +26 other terms	150	$205	$163	$150	92%	—	$30 – $889
9	WellCare fee schedule · outpatient · +21 other terms	139	$93	$103	$46	44%	—	$26 – $427
10	Kaiser fee schedule · outpatient · +21 other terms	94	$126	$169	$133	79%	—	$19 – $1000
11	Ambetter fee schedule · outpatient · +18 other terms	92	$152	$147	$68	47%	—	$77 – $316
12	Aetna Better Health fee schedule · outpatient · +18 other terms	73	$88	$89	$10	12%	—	$46 – $109
13	Devoted facility · fee schedule · outpatient · +15 other terms	72	$88	$155	$551	357%	—	$82 – $4.9k
14	MultiPlan fee schedule · outpatient · +20 other terms	71	$284	$299	$282	94%	—	$38 – $1.5k
15	Oscar facility · fee schedule · outpatient · +19 other terms	61	$132	$134	$27	20%	—	$80 – $245
16	Tricare fee schedule · outpatient · +19 other terms	54	$88	$109	$31	28%	—	$28 – $148
17	Caresource fee schedule · outpatient · +15 other terms	51	$132	$141	$58	41%	—	$53 – $332
18	Optum fee schedule · outpatient · +21 other terms	49	$81	$110	$62	56%	—	$70 – $321
19	First Health fee schedule · outpatient · +16 other terms	44	$91	$144	$165	115%	—	$35 – $985
20	Medicare other · both · +16 other terms	39	$92	$96	$14	15%	—	$81 – $128
21	Highmark facility · fee schedule · outpatient · +19 other terms	38	$159	$163	$101	62%	—	$22 – $401
22	Cigna Healthspring fee schedule · outpatient · +10 other terms	33	$91	$98	$25	26%	—	$81 – $176
23	Clover fee schedule · outpatient · +9 other terms	33	$96	$93	$7	7%	—	$79 – $105
24	Medica fee schedule · outpatient · +21 other terms	29	$183	$206	$146	71%	—	$27 – $795
25	Medicaid fee schedule · both · +11 other terms	29	$158	$182	$64	35%	—	$20 – $250

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