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
HCHG RAD US PELVIS COMPLETE TV ADD ON
Cambridge, MN
See all hospitals reporting CPT 76830 →Price type
Allina Health Systems’s median price of $333 is 56% above the median hospital's median price ($214), higher than 66% of the 2,592 hospitals reporting CPT 76830. 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, 30 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 | Medicaid medicaid ma (d) facility · fee schedule · outpatient | $99.61 | $99.61 | $99.61 – $99.61 |
| 2 | Aetna allina aetna medicare (d) facility · fee schedule · outpatient | $102.36 | $102.36 | $102.36 – $102.36 |
| 3 | Medicare medicare (d) facility · fee schedule · outpatient | $107.75 | $107.75 | $107.75 – $107.75 |
| 4 | Medica medica medicare (d) facility · fee schedule · outpatient | $112.06 | $112.06 | $112.06 – $112.06 |
| 5 | Blue Cross Blue Shield bc medicare (d) facility · fee schedule · outpatient | $113.14 | $113.14 | $113.14 – $113.14 |
| 6 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $109.61 | $124.20 | $54.83 – $237.56 |
| 7 | Blue Cross Blue Shield bc pmap (b d o s v) facility · other · outpatient | $128.03 | $128.03 | $128.03 – $128.03 |
| 8 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $242.05 | $274.27 | $121.07 – $524.59 |
| 9 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $242.65 | $274.94 | $121.37 – $525.88 |
| 10 | Medica medica dual solutions (b d v o s) facility · other · outpatient | $286.00 | $286.00 | $286.00 – $286.00 |
| 11 | Aetna aetna performance (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $255.67 | $289.70 | $127.88 – $554.10 |
| 12 | Aetna aetna performance (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $256.33 | $290.44 | $128.21 – $555.52 |
| 13 | Blue Cross Blue Shield allina health blueprint (bdoshv) facility · other · outpatient | $328.15 | $328.15 | $328.15 – $328.15 |
| 14 | Blue Cross Blue Shield bc state health plan (b d o s v) facility · other · outpatient | $333.24 | $333.24 | $333.24 – $333.24 |
| 15 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $322.96 | $365.94 | $161.54 – $699.92 |
| 16 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $323.83 | $366.92 | $161.97 – $701.81 |
| 17 | Bcbs Mn bc premier (b d o s v) facility · other · outpatient | $371.13 | $371.13 | $371.13 – $371.13 |
| 18 | Healthpartners hpi (bdov) facility · other · outpatient | $368.81 | $417.89 | $184.47 – $799.30 |
| 19 | Medica medica ubh (d) facility · percent of total billed charges · inpatientfrom % of charges | $381.36 | $432.11 | $190.75 – $826.49 |
| 20 | Blue Cross Blue Shield bc aehp (b d o s v) facility · other · outpatient | $436.59 | $436.59 | $436.59 – $436.59 |
| 21 | Bcbs Mn bc high value/performance network (bdosv) facility · other · outpatient | $468.66 | $468.66 | $468.66 – $468.66 |
| 22 | Blue Cross Blue Shield bc aware/blue plus (b d o s v) facility · other · outpatient | $493.32 | $493.32 | $493.32 – $493.32 |
| 23 | Medica medica elect (b d o s v) facility · other · outpatient | $496.86 | $496.86 | $496.86 – $496.86 |
| 24 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $457.63 | $518.53 | $228.90 – $991.79 |
| 25 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $457.63 | $518.53 | $228.90 – $991.79 |
Last updated: Jun 16, 2026
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