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
US XTR NON-VASC COMPLETE
Hialeah, FL
See all hospitals reporting CPT 76881 →Price type
Hsa Pgh Llc’s median price of $115 is 36% below the median hospital's median price ($179), higher than 25% of the 2,418 hospitals reporting CPT 76881. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 37 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 | Oscar oscar health plan hix facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 3 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 5 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 6 | Molina molina managed medicaid facility · other · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 7 | Aetna aetna non-gatekeeper facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 8 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 9 | UnitedHealthcare united healthcare of florida exchange facility · other · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 10 | UnitedHealthcare united healthcare of florida hmo facility · other · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 11 | UnitedHealthcare united healthcare of florida ppo facility · other · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 12 | Humana humana medicare hmo facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 13 | Humana humana medicare ppo facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 14 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 15 | Medicare medicare facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 16 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 17 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 18 | Devoted devoted health facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 19 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 20 | Molina molina medicare advantage program facility · fee schedule · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 21 | Cigna cigna healthsprings facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 22 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 23 | Ambetter ambetter by sunshine hix facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 24 | Cigna cigna individual family facility · fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 25 | Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient | $235 | $235 | — | — | — | $235 – $235 |
Last updated: Sep 1, 2026
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