Limited obstetric ultrasound of fetus at Holy Cross Hospital-Silver Spring

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR US Pregnant Uterus Limited >= 1 Fetuses|PROFESSIONAL COMPONENT|MULTIPLE PROCEDURES

Silver Spring, MD

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How this price compares nationally

Holy Cross Hospital-Silver Spring’s median price of $109 is 39% below the median hospital's median price ($178), higher than 20% of the 2,584 hospitals reporting CPT 76815. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76815 at Holy Cross Hospital-Silver Spring

Negotiated rates from the hospital’s own file: 34 payers, 137 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	Humana tricare professional · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
2	Tricare tricare professional · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
3	Aetna aetna medicare advantage professional · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
4	Aetna aetna professional · fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
5	Humana tricare professional · fee schedule · both	$31	$31	—	—	—	$31 – $31
6	Tricare tricare professional · fee schedule · both	$31	$31	—	—	—	$31 – $31
7	Aetna aetna medicare advantage professional · fee schedule · both	$33	$33	—	—	—	$33 – $33
8	Aetna aetna professional · fee schedule · both	$45	$45	—	—	—	$45 – $45
9	Humana tricare professional · fee schedule · inpatient	$87	$87	—	—	—	$87 – $87
10	Tricare tricare professional · fee schedule · inpatient	$87	$87	—	—	—	$87 – $87
11	Aetna aetna medicare advantage professional · fee schedule · inpatient	$92	$92	—	—	—	$92 – $92
12	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
13	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
14	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
15	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
16	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
17	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
18	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
19	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
20	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
21	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
22	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
23	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109
24	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$109	$109	—	—	—	$109 – $109
25	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$109	$109	—	—	—	$109 – $109

Page 1 of 6 · 137 rates

Last updated: Mar 31, 2026

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