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
CHG US RETROPERITONEAL REAL TIME W/IMAGE LIMITED
Boulder, CO
See all hospitals reporting CPT 76775 →Price type
Boulder Community Health’s median price of $250 is 43% above the median hospital's median price ($175), higher than 63% of the 2,656 hospitals reporting CPT 76775. 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, 42 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 medicare advantage professional · case rate · both | $50 | $47 | $16 | 34% | — | $28 – $63 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $50 | $47 | $16 | 34% | — | $28 – $63 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $50 | $47 | $16 | 34% | — | $28 – $63 |
| 4 | Humana medicare advantage professional · fee schedule · both | $50 | $47 | $16 | 34% | — | $28 – $63 |
| 5 | Healthpartners managed medicaid professional · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Kaiser medicare advantage professional · fee schedule · both | $61 | $59 | $20 | 34% | — | $34 – $79 |
| 7 | Anthem commercial professional · fee schedule · both | $65 | $62 | $23 | 37% | — | $34 – $101 |
| 8 | Aetna commercial professional · fee schedule · both | $71 | $69 | $23 | 34% | — | $40 – $91 |
| 9 | Aetna ppo professional · fee schedule · both | $71 | $69 | $23 | 34% | — | $40 – $91 |
| 10 | UnitedHealthcare medicare advantage professional · fee schedule · both | $63 | $69 | $33 | 48% | — | $28 – $112 |
| 11 | MultiPlan commercial professional · fee schedule · both | $74 | $72 | $24 | 34% | — | $42 – $96 |
| 12 | Phcs commercial professional · fee schedule · both | $74 | $72 | $24 | 34% | — | $42 – $96 |
| 13 | UnitedHealthcare commercial professional · fee schedule · both | $74 | $74 | $25 | 33% | — | $49 – $98 |
| 14 | Kaiser commercial professional · fee schedule · both | $78 | $75 | $25 | 34% | — | $43 – $100 |
| 15 | Anthem managed care professional · fee schedule · both | $78 | $76 | $26 | 34% | — | $46 – $101 |
| 16 | Cigna commercial professional · fee schedule · both | $80 | $77 | $26 | 34% | — | $46 – $103 |
| 17 | Cigna commercial facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Humana medicare advantage facility · case rate · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $114 | $114 | $1 | 0% | — | $114 – $115 |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 24 | Anthem commercial facility · case rate · outpatient | $249 | $283 | $69 | 24% | — | $216 – $396 |
| 25 | Kaiser commercial facility · case rate · outpatient | $416 | $416 | $50 | 12% | — | $366 – $465 |
Last updated: Sep 16, 2026
See Limited ultrasound of the abdominal back wall pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.