Obstetric ultrasound, single fetus, 14 weeks or more at Dignity Health

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 PREG=>14WK SNG 1ST GES

Folsom, CA

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Pricing by billing methodology

Price type

How this price compares nationally

Dignity Health’s median price of $304 is 39% above the median hospital's median price ($219), higher than 62% of the 2,585 hospitals reporting CPT 76805. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76805 at Dignity Health

Negotiated rates from the hospital’s own file: 10 payers, 29 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 medicare\|all other plans fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
2	UnitedHealthcare medicaid\|< 21 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
3	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
4	Aetna medicare\|all plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
5	Blue Cross Blue Shield medicare\|hmo case rate · outpatient	$140	$140	—	—	—	$140 – $140
6	Blue Cross Blue Shield medicare\|ppo fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
7	Humana commercial\|all plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
8	Kaiser medicare\|all plans case rate · outpatient	$140	$140	—	—	—	$140 – $140
9	UnitedHealthcare medicare\|all plans case rate · outpatient	$140	$140	—	—	—	$140 – $140
10	Anthem medicare\|imperial fee schedule · outpatient	$144	$144	—	—	—	$144 – $144
11	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$245	$245	—	—	1–10	$245 – $245
12	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
13	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
14	Molina medicaid\|all plans fee schedule · outpatient	$254	$254	—	—	—	$254 – $254
15	Anthem medicaid\|all plans fee schedule · outpatient	$257	$257	—	—	—	$257 – $257
16	Aetna commercial\|all other plans fee schedule · outpatient	$304	$304	—	—	1–10	$304 – $304
17	Aetna commercial\|hmo fee schedule · outpatient	$304	$304	—	—	1–10	$304 – $304
18	Aetna commercial\|ppo fee schedule · outpatient	$304	$304	—	—	1–10	$304 – $304
19	Cigna commercial\|localplus fee schedule · outpatient	$440	$440	—	—	—	$440 – $440
20	Kaiser medicaid\|all plans fee schedule · outpatient	$515	$515	—	—	—	$515 – $515
21	Cigna commercial\|all other plans fee schedule · outpatient	$587	$587	—	—	—	$587 – $587
22	Anthem commercial\|connection epo fee schedule · outpatient	$765	$765	—	—	—	$765 – $765
23	First Health commercial\|all plans fee schedule · inpatient	$942	$942	—	—	—	$942 – $942
24	First Health commercial\|all plans fee schedule · outpatient	$942	$942	—	—	—	$942 – $942
25	Anthem commercial\|all other plans fee schedule · outpatient	$957	$957	—	—	—	$957 – $957

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

Compare to other hospitals

See Obstetric ultrasound, single fetus, 14 weeks or more pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.