Obstetric ultrasound, single fetus, 14 weeks or more at Ascension Seton

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 PREG 2/3 TRIMST

Burnet, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $143 is 34% below the median hospital's median price ($219), higher than 29% of the 2,549 hospitals reporting CPT 76805. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76805 at Ascension Seton

Negotiated rates from the hospital’s own file: 8 payers, 54 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	$92	$92	—	—	—	$92 – $92
2	Blue Cross Blue Shield 4224_chirp blue cross star (shl) outpatient 20241201 fee schedule · both	$99	$99	—	—	—	$99 – $99
3	UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 fee schedule · both	$99	$99	—	—	—	$99 – $99
4	UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 fee schedule · both	$99	$99	—	—	—	$99 – $99
5	UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 fee schedule · both	$99	$99	—	—	—	$99 – $99
6	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
7	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
8	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
9	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
10	Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
11	Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient	$107	$107	—	—	—	$107 – $107
12	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
13	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
14	UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
15	UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both	$114	$114	—	—	—	$114 – $114
16	Blue Cross Blue Shield 4173_blue cross chip (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
17	Blue Cross Blue Shield 4173_blue cross chip/star kids (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
18	Blue Cross Blue Shield 5013_blue cross star kids (shl) outpatient 20241201 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
19	Blue Cross Blue Shield 3599_blue cross chip/star kids (shl) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
20	Blue Cross Blue Shield 3698_chirp blue cross star (shl) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
21	UnitedHealthcare 3742_chirp uhc star (shl) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
22	UnitedHealthcare 3753_chirp uhc star plus (shl) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
23	UnitedHealthcare 4327_uhc star kids (shl) inpatient 20240901 fee schedule · both	$137	$137	—	—	—	$137 – $137
24	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 fee schedule · both	$148	$148	—	—	—	$148 – $148
25	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both	$148	$148	—	—	—	$148 – $148

Page 1 of 3 · 54 rates

Last updated: Jan 1, 2026

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See Obstetric ultrasound, single fetus, 14 weeks or more pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.