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 76801 US PG UTER IMG F&MAT 14 WK TABDL 1/1ST GESTATION
Orange, TX
See all hospitals reporting CPT 76801 →Price type
CHRISTUS Hospital - Orange’s median price of $141 is 30% below the median hospital's median price ($203), higher than 31% of the 2,609 hospitals reporting CPT 76801. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 33 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 mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Humana gold choice mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 6 | WellCare mm fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 7 | UnitedHealthcare hix fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 8 | UnitedHealthcare chip km fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 9 | UnitedHealthcare star kid km fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 10 | UnitedHealthcare star km fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 11 | UnitedHealthcare star plus km fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 12 | Devoted mm fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 13 | Molina chip km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 14 | Molina star km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 15 | Molina star plus km fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
| 16 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 17 | Cigna new business fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
| 18 | Humana choicecare fee schedule · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 19 | Bcbs Tx heb fee schedule · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 20 | Bcbs Tx hmo fee schedule · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 21 | Cigna ppo fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 22 | UnitedHealthcare all payer fee schedule · outpatient | $326 | $326 | — | — | — | $326 – $326 |
| 23 | Bcbs Tx ppo fee schedule · outpatient | $330 | $330 | — | — | — | $330 – $330 |
| 24 | Bcbs Tx traditional fee schedule · outpatient | $351 | $351 | — | — | — | $351 – $351 |
| 25 | Healthcare Highways ppo percent of total billed charges · outpatientfrom % of charges | $893 | $893 | $120 | 13% | — | $773 – $1.0k |
Last updated: Jan 13, 2026
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