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-PELVIS NON OB FU
LaFollette, TN
See all hospitals reporting CPT 76857 →Price type
Campbell County HMA, LLC’s median price of $102 is 37% below the median hospital's median price ($161), higher than 17% 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: 11 payers, 27 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bluecare bh facility · case rate · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 2 | UnitedHealthcare uhc community plan facility · case rate · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Aetna aetna better health mcd ky facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | UnitedHealthcare uhc ky mcd facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 5 | WellCare wellcare ky mcd facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 6 | Blue Cross Blue Shield bcbs tn net s facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 7 | Tricare node tricare facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 8 | Blue Cross Blue Shield bcbs tn net p facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 9 | Blue Cross Blue Shield node bcbs mcr adv facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 10 | Humana node humana mcr adv facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 11 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 12 | Optum node united optum va ccn facility · fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 13 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 14 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $102 | $102 | — | — | — | $102 – $102 |
| 15 | Aetna node aetna mcr adv facility · per diem · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 16 | UnitedHealthcare node uhc mcr dual adv facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 17 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $117 | $117 | — | — | — | $117 – $117 |
| 18 | UnitedHealthcare uhc hsa facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 19 | UnitedHealthcare uhc options ppo facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 20 | Cigna cigna all facility · fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 21 | Humana humana ky mcd facility · percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 22 | Ambetter node ambetter health exchange facility · fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 23 | Aetna aetna facility · other · outpatient | $529 | $529 | — | — | — | $529 – $529 |
| 24 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $646 | $646 | — | — | — | $646 – $646 |
| 25 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $646 | $646 | — | — | — | $646 – $646 |
Last updated: Apr 1, 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.