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
US-PLV PRG 14 WKS AD
Park, TX
See all hospitals reporting CPT 76802 →Price type
Ascension Cedar Park’s median price of $66 is 61% below the median hospital's median price ($169), higher than 20% of the 2,198 hospitals reporting CPT 76802. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 35 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 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Humana 2668_humana hmo 20230701 other · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 3 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 4 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 5 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 6 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 8 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 9 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 10 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 11 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 12 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 13 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 14 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 15 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 16 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 17 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 18 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 19 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 20 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 21 | Aetna 4489_aetna aco hmo 20250801 fee schedule · both | $138 | $138 | — | — | — | $138 – $138 |
| 22 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · both | $138 | $138 | — | — | — | $138 – $138 |
| 23 | Aetna 4335_aetna sha aisd 20250101 other · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 24 | Aetna 4486_aetna hmo 20250801 other · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 25 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · both | $235 | $235 | — | — | — | $235 – $235 |
Last updated: Jan 1, 2026
See Ultrasound of additional fetus before 14 weeks pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.