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 PREG W/NT MEASURE SGL
Plano, TX
See all hospitals reporting CPT 76813 →Price type
Medical City Plano’s median price of $276 is 79% above the median hospital's median price ($154), higher than 78% of the 1,858 hospitals reporting CPT 76813. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 52 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 qhphix fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 2 | UnitedHealthcare chip fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 3 | UnitedHealthcare star fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 4 | UnitedHealthcare starkids fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 5 | UnitedHealthcare starperinate fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 6 | UnitedHealthcare starplus fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 7 | Cigna Healthspring mgmcd fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 8 | Aetna Better Health chip fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 9 | Aetna Better Health mcd fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 10 | Molina chip fee schedule · outpatient | $116 | $116 | $1 | 1% | — | $115 – $117 |
| 11 | Molina mcdstar fee schedule · outpatient | $116 | $116 | $1 | 1% | — | $115 – $117 |
| 12 | Molina star+plus fee schedule · outpatient | $116 | $116 | $1 | 1% | — | $115 – $117 |
| 13 | Molina starkids fee schedule · outpatient | $116 | $116 | $1 | 1% | — | $115 – $117 |
| 14 | Humana mgmcd fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 15 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 16 | Aetna newbusiness fee schedule · outpatient | $143 | $143 | — | — | — | $143 – $143 |
| 17 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 18 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 19 | Aetna comm fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 20 | Aetna meritain fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 21 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 22 | UnitedHealthcare smallgroup fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 23 | Aetna oon fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 24 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 25 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
Last updated: Mar 1, 2026
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