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 NON OB
Longview, TX
See all hospitals reporting CPT 76856 →Price type
Longview Medical Center LP’s median price of $179 is 18% below the median hospital's median price ($219), higher than 41% of the 2,695 hospitals reporting CPT 76856. 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 | Medicaid node tx medicaid facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 2 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 3 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Molina node molina chip medicaid tx facility · per diem · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Humana node humana mcr adv facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 7 | Humana node wellmed humana mcr adv facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 9 | UnitedHealthcare node wellmed uhc mcr adv facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Tricare node tricare facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 11 | Aetna node aetna mcr adv facility · other · outpatient | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 12 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 13 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 14 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $106 | $106 | — | — | 2–20 | $106 – $106 |
| 15 | Cigna cigna all facility · fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 16 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 17 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 18 | Molina node molina star plus medicaid tx facility · per diem · outpatient | $212 | $212 | — | — | — | $212 – $212 |
| 19 | UnitedHealthcare node uhc star kids medicaid tx facility · other · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 20 | Superior Healthplan node superior star medicaid tx facility · fee schedule · outpatient | $356 | $356 | — | — | — | $356 – $356 |
| 21 | Blue Cross Blue Shield bcbs tx blue choice options facility · other · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 22 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 23 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $389 | $389 | — | — | — | $389 – $389 |
| 24 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $397 | $397 | — | — | 1–10 | $397 – $397 |
| 25 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $530 | $530 | — | — | — | $530 – $530 |
Last updated: Apr 1, 2026
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