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-PELVIS PREG LTD
Longview, TX
See all hospitals reporting CPT 76815 →Price type
Longview Medical Center LP’s median price of $164 is 8% below the median hospital's median price ($178), higher than 46% of the 2,615 hospitals reporting CPT 76815. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $70 | $70 | — | — | 1–10 | $70 – $70 |
| 2 | Medicaid node tx medicaid facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 3 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 4 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Molina node molina chip medicaid tx facility · per diem · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 6 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $85 | $85 | — | — | — | $85 – $85 |
| 7 | Cigna cigna all facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 8 | Humana node humana mcr adv facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 9 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 10 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 11 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 12 | Tricare node tricare facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 13 | Aetna node aetna mcr adv facility · other · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 14 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 15 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 16 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $171 | $171 | — | — | — | $171 – $171 |
| 17 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 18 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 19 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 20 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 21 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $236 | $236 | — | — | 1–10 | $236 – $236 |
| 22 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $239 | $239 | — | — | — | $239 – $239 |
| 23 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $254 | $254 | — | — | 3–30 | $254 – $254 |
| 24 | UnitedHealthcare uhc health select facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 25 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
Last updated: Apr 1, 2026
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