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
CHG US RETROPERITONEAL REAL TIME W/IMAGE LIMITED
Hilo, HI
See all hospitals reporting CPT 76775 →Price type
Hilo Benioff Medical Center’s median price of $79 is 55% below the median hospital's median price ($175), higher than 9% of the 2,656 hospitals reporting CPT 76775. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 13 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 professional · fee schedule · both | $39 | $39 | — | — | — | $39 – $39 |
| 2 | UnitedHealthcare medicare professional · fee schedule · both | $38 | $44 | $16 | 37% | — | $28 – $66 |
| 3 | UnitedHealthcare medicaid facility · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 4 | Devoted medicare professional · fee schedule · both | $42 | $48 | $18 | 37% | — | $30 – $72 |
| 5 | Kaiser commercial professional · fee schedule · both | $46 | $53 | $19 | 37% | — | $33 – $79 |
| 6 | Kaiser medicaid professional · fee schedule · both | $46 | $53 | $19 | 37% | — | $33 – $79 |
| 7 | Kaiser medicare professional · fee schedule · both | $46 | $53 | $19 | 37% | — | $33 – $79 |
| 8 | Humana medicare facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 9 | Kaiser medicare facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 10 | UnitedHealthcare medicare facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 11 | Devoted medicare facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 12 | Kaiser medicaid facility · percent of total billed charges · outpatientfrom % of charges | $270 | $270 | — | — | — | $270 – $270 |
| 13 | Kaiser commercial facility · percent of total billed charges · outpatientfrom % of charges | $333 | $333 | — | — | — | $333 – $333 |
Last updated: Jun 15, 2026
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