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, REAL TIME W/IMAGE DOC LIMITED
Boulder, CO
See all hospitals reporting CPT 76857 →Price type
Boulder Community Health’s median price of $114 is 29% below the median hospital's median price ($161), higher than 28% 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, 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 | $29 | $35 | $13 | 36% | — | $24 – $53 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $29 | $35 | $13 | 36% | — | $24 – $53 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $29 | $35 | $13 | 36% | — | $24 – $53 |
| 4 | Humana medicare advantage professional · fee schedule · both | $29 | $35 | $13 | 36% | — | $24 – $53 |
| 5 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 6 | Healthpartners managed medicaid professional · fee schedule · both | $43 | $43 | — | — | — | $43 – $43 |
| 7 | Kaiser medicare advantage professional · fee schedule · both | $36 | $44 | $16 | 36% | — | $30 – $66 |
| 8 | Anthem commercial professional · fee schedule · both | $40 | $46 | $17 | 38% | — | $29 – $84 |
| 9 | Aetna commercial professional · fee schedule · both | $41 | $50 | $18 | 36% | — | $34 – $75 |
| 10 | Aetna ppo professional · fee schedule · both | $41 | $50 | $18 | 36% | — | $34 – $75 |
| 11 | MultiPlan commercial professional · fee schedule · both | $43 | $52 | $19 | 36% | — | $36 – $79 |
| 12 | Phcs commercial professional · fee schedule · both | $43 | $52 | $19 | 36% | — | $36 – $79 |
| 13 | UnitedHealthcare commercial professional · fee schedule · both | $41 | $54 | $19 | 35% | — | $40 – $81 |
| 14 | UnitedHealthcare medicare advantage professional · fee schedule · both | $41 | $54 | $35 | 64% | — | $24 – $112 |
| 15 | Anthem managed care professional · fee schedule · both | $45 | $56 | $20 | 35% | — | $40 – $84 |
| 16 | Kaiser commercial professional · fee schedule · both | $46 | $56 | $20 | 36% | — | $38 – $84 |
| 17 | Cigna commercial professional · fee schedule · both | $46 | $57 | $20 | 36% | — | $39 – $85 |
| 18 | Cigna commercial facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 19 | Aetna medicare advantage facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Anthem medicare advantage facility · case rate · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 21 | Humana medicare advantage facility · case rate · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 22 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 23 | Kaiser medicare advantage facility · case rate · outpatient | $114 | $114 | $1 | 0% | — | $114 – $115 |
| 24 | Devoted medicare advantage facility · case rate · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 25 | Anthem commercial facility · case rate · outpatient | $249 | $283 | $69 | 24% | — | $216 – $396 |
Last updated: Sep 16, 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.