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-PLV PRG 14 WKS AD
Longview, TX
See all hospitals reporting CPT 76802 →Price type
Longview Medical Center LP’s median price of $98 is 43% below the median hospital's median price ($171), higher than 33% of the 2,219 hospitals reporting CPT 76802. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 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 | Aetna node aetna mcr adv facility · other · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 3 | Medicaid node tx medicaid facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 4 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 5 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 6 | Molina node molina chip medicaid tx facility · per diem · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 7 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 8 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 9 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 10 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 11 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $98 | $98 | — | — | — | $98 – $98 |
| 12 | Aetna aetna all facility · other · outpatient | $116 | $116 | — | — | — | $116 – $116 |
| 13 | Aetna aetna first health facility · other · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 14 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $122 | $122 | — | — | — | $122 – $122 |
| 15 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 16 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 17 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 18 | Cigna cigna all facility · other · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 19 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 20 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 21 | Aetna aetna auto facility · other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 22 | Aetna aetna auto facility · percent of total billed charges · inpatientfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 23 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 24 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 25 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $236 | $236 | — | — | — | $236 – $236 |
Last updated: Apr 1, 2026
See Ultrasound of additional fetus before 14 weeks pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.