Limited pelvic ultrasound exam at Dignity Community Care

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

US PELVIS NON OB LTD F/U

Glendale, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Community Care’s median price of $169 is 5% above the median hospital's median price ($161), higher than 52% of the 2,651 hospitals reporting CPT 76857. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76857 at Dignity Community Care

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	Anthem medicaid\|all plans fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
2	Molina medicaid\|all plans fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$91	$91	—	—	—	$91 – $91
5	Humana commercial\|all plans fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
6	UnitedHealthcare medicare\|all plans case rate · outpatient	$135	$135	—	—	—	$135 – $135
7	Anthem medicare\|alhambra senior fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
8	Anthem commercial\|alhambra fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
9	Anthem commercial\|hcla fee schedule · outpatient	$169	$169	—	—	—	$169 – $169
10	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
11	UnitedHealthcare commercial\|navigate fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
12	UnitedHealthcare commercial\|options ppo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
13	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
14	Aetna commercial\|all other plans fee schedule · outpatient	$272	$272	—	—	1–10	$272 – $272
15	Aetna commercial\|hmo fee schedule · outpatient	$272	$272	—	—	1–10	$272 – $272
16	Aetna commercial\|ppo fee schedule · outpatient	$272	$272	—	—	1–10	$272 – $272
17	Anthem commercial\|non-mcs fee schedule · outpatient	$279	$279	—	—	15	$279 – $279
18	Anthem commercial\|mcs fee schedule · outpatient	$369	$369	—	—	—	$369 – $369
19	Cigna commercial\|all other plans fee schedule · outpatient	$443	$443	—	—	—	$443 – $443
20	Cigna commercial\|ppo fee schedule · outpatient	$443	$443	—	—	—	$443 – $443
21	Kaiser commercial\|all plans fee schedule · inpatient	$774	$774	—	—	—	$774 – $774
22	Kaiser commercial\|all plans fee schedule · outpatient	$774	$774	—	—	—	$774 – $774
23	Blue Cross Blue Shield commercial\|magellan fee schedule · inpatient	$829	$829	—	—	—	$829 – $829
24	Blue Cross Blue Shield commercial\|magellan fee schedule · outpatient	$829	$829	—	—	—	$829 – $829
25	First Health commercial\|all plans fee schedule · inpatient	$898	$898	—	—	—	$898 – $898

Page 1 of 2 · 28 rates

Last updated: Feb 28, 2026

Compare to other hospitals

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.