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 LTD OR F/U (NON OB
Clovis, CA
See all hospitals reporting CPT 76857 →Price type
Clovis Community Medical Center’s median price of $134 is 17% below the median hospital's median price ($161), higher than 39% of the 2,621 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, 28 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 managed medi-cal facility · fee schedule · inpatient | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Molina managed medi-cal facility · fee schedule · inpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Aetna medicare advantage facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 4 | Aetna medicare hmo for chp facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Aetna ppo facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 6 | Blue Cross Blue Shield medicare advantage facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 7 | Cigna access (pffs) facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 8 | Cigna healthspring facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 9 | Humana medicare advantage facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 10 | Kaiser commercial facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 11 | Kaiser senior advantage medicare facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 12 | WellCare medicare advantage facility · case rate · inpatient | $134 | $134 | — | — | — | $134 – $134 |
| 13 | UnitedHealthcare medicare advantage facility · case rate · inpatient | $136 | $136 | — | — | — | $136 – $136 |
| 14 | Aetna medicare hmo for non-chp facility · case rate · inpatient | $141 | $141 | — | — | — | $141 – $141 |
| 15 | Blue Cross Blue Shield epn facility · fee schedule · inpatient | $145 | $145 | — | — | — | $145 – $145 |
| 16 | Aetna hmoposppo facility · fee schedule · inpatient | $419 | $419 | — | — | — | $419 – $419 |
| 17 | Aetna qualified health plan facility · fee schedule · inpatient | $419 | $419 | — | — | — | $419 – $419 |
| 18 | UnitedHealthcare hmo facility · fee schedule · inpatient | $439 | $439 | — | — | — | $439 – $439 |
| 19 | UnitedHealthcare ppo facility · fee schedule · inpatient | $439 | $439 | — | — | — | $439 – $439 |
| 20 | Cigna hmo facility · fee schedule · inpatient | $465 | $465 | — | — | — | $465 – $465 |
| 21 | Blue Cross Blue Shield hmopos facility · fee schedule · inpatient | $467 | $467 | — | — | — | $467 – $467 |
| 22 | Blue Cross Blue Shield epoppo facility · fee schedule · inpatient | $476 | $476 | — | — | — | $476 – $476 |
| 23 | Cigna ppo facility · fee schedule · inpatient | $519 | $519 | — | — | — | $519 – $519 |
| 24 | Blue Cross Blue Shield hmoppo facility · fee schedule · inpatient | $523 | $523 | — | — | — | $523 – $523 |
| 25 | Blue Cross Blue Shield exchange hmo facility · fee schedule · inpatient | $532 | $532 | — | — | — | $532 – $532 |
Last updated: Sep 11, 2026
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