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
HC US PELVIC LIMITED NON-OB
Crowley, LA
See all hospitals reporting CPT 76857 →Price type
Acadia General Hospital, Inc’s median price of $97 is 40% below the median hospital's median price ($161), higher than 13% of the 2,651 hospitals reporting CPT 76857. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 12 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna all payor fee schedule · outpatient | $66 | $66 | $31 | 47% | — | $35 – $97 |
| 2 | Aetna Better Health all payor other · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 3 | Amerihealth Caritas all payor other · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 4 | Humana all payor other · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 5 | UnitedHealthcare all payor other · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 6 | Humana all payor fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 7 | Optum all payor fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 8 | Tricare all payor other · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 9 | WellCare all payor fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 10 | UnitedHealthcare all payor fee schedule · outpatient | $130 | $130 | $33 | 26% | — | $97 – $163 |
| 11 | Bcbs La all payor fee schedule · outpatient | $153 | $141 | $26 | 18% | — | $97 – $160 |
| 12 | Cigna all payor other · outpatient | $462 | $462 | — | — | — | $462 – $462 |
Last updated: Apr 1, 2026
See Limited pelvic ultrasound exam pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.