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
76857 US Pelvis Non OB FU AMB
Peru, IN
See all hospitals reporting CPT 76857 →Price type
Dukes Health System LLC’s median price of $177 is 10% above the median hospital's median price ($161), higher than 54% of the 2,651 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: 11 payers, 38 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 | Caresource caresource in medicaid facility · other · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 2 | Anthem anthem in medicaid facility · other · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 3 | Caresource caresource hhw in medicaid facility · other · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 4 | Caresource caresource in hip facility · other · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 5 | Humana humana pathways in medicaid facility · other · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 6 | UnitedHealthcare uhc hcc in medicaid facility · other · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 7 | UnitedHealthcare uhc pathways in medicaid facility · other · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 8 | Tricare node tricare facility · fee schedule · outpatient | $67 | $101 | $67 | 66% | — | $41 – $194 |
| 9 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | $25 | 24% | — | $80 – $130 |
| 10 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $105 | $105 | $25 | 24% | — | $80 – $130 |
| 11 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $71 | $107 | $71 | 66% | — | $43 – $206 |
| 12 | Humana node humana mcr adv facility · fee schedule · outpatient | $71 | $107 | $71 | 66% | — | $43 – $206 |
| 13 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $71 | $107 | $71 | 66% | — | $43 – $206 |
| 14 | Anthem anthem in hip facility · fee schedule · outpatient | $72 | $109 | $72 | 66% | — | $44 – $209 |
| 15 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $72 | $109 | $72 | 66% | — | $44 – $209 |
| 16 | Optum node united optum va ccn facility · per diem · outpatient | $72 | $109 | $72 | 66% | — | $44 – $209 |
| 17 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $73 | $109 | $72 | 66% | — | $44 – $210 |
| 18 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $73 | $109 | $72 | 66% | — | $44 – $210 |
| 19 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $109 | $163 | $108 | 66% | — | $66 – $314 |
| 20 | Anthem anthem in work comp facility · other · outpatient | $116 | $174 | $115 | 66% | — | $71 – $335 |
| 21 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $130 | $195 | $130 | 66% | — | $80 – $377 |
| 22 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $130 | $195 | $130 | 66% | — | $80 – $377 |
| 23 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $153 | $230 | $153 | 66% | — | $94 – $444 |
| 24 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $172 | $258 | $172 | 66% | — | $105 – $498 |
| 25 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $178 | $267 | $177 | 66% | — | $109 – $515 |
Last updated: Apr 1, 2026
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.