Limited obstetric ultrasound of fetus 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 1 OR >FETUSES LTD

Folsom, CA

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How this price compares nationally

Dignity Health’s median price of $213 is 20% above the median hospital's median price ($178), higher than 58% of the 2,615 hospitals reporting CPT 76815. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76815 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	UnitedHealthcare medicaid\|< 21 fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
2	UnitedHealthcare medicaid\|> 21 fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
3	Anthem medicare\|all other plans fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
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	Molina medicaid\|all plans fee schedule · outpatient	$170	$170	—	—	—	$170 – $170
12	Anthem medicaid\|all plans fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
13	Aetna commercial\|all other plans fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
14	Aetna commercial\|hmo fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
15	Aetna commercial\|ppo fee schedule · outpatient	$190	$190	—	—	—	$190 – $190
16	UnitedHealthcare commercial\|all other plans fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
17	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
18	UnitedHealthcare commercial\|non-options ppo fee schedule · outpatient	$245	$245	—	—	—	$245 – $245
19	Cigna commercial\|localplus fee schedule · outpatient	$440	$440	—	—	—	$440 – $440
20	Anthem commercial\|connection epo fee schedule · outpatient	$507	$507	—	—	—	$507 – $507
21	Cigna commercial\|all other plans fee schedule · outpatient	$587	$587	—	—	—	$587 – $587
22	Anthem commercial\|all other plans fee schedule · outpatient	$635	$635	—	—	—	$635 – $635
23	Kaiser medicaid\|all plans fee schedule · outpatient	$768	$768	—	—	—	$768 – $768
24	Anthem commercial\|mcs fee schedule · outpatient	$888	$888	—	—	—	$888 – $888
25	First Health commercial\|all plans fee schedule · inpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k

Page 1 of 2 · 29 rates

Last updated: Feb 28, 2026

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