Limited pelvic ultrasound exam at Mercy Perry

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

US Pelvic Non OB Limited F/U

Perryville, MO

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Pricing by billing methodology

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How this price compares nationally

Mercy Perry’s median price of $214 is 33% above the median hospital's median price ($161), higher than 61% of the 2,651 hospitals reporting CPT 76857. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76857 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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 hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$68	$68	$30	44%	—	$38 – $98
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
3	Medicaid hb pcmh mo medicaid facility · fee schedule · outpatient	$127	$127	—	—	—	$127 – $127
4	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	$61	44%	2–20	$77 – $198
5	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	$61	44%	2–20	$77 – $198
6	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	$61	44%	—	$77 – $198
7	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	$61	44%	2–20	$77 – $198
8	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	$61	44%	—	$77 – $198
9	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	$61	44%	—	$77 – $198
10	UnitedHealthcare hb pcmh uhc managed medicaid facility · fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$140	$140	$62	44%	2–20	$78 – $202
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$143	$143	$63	44%	2–20	$80 – $206
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$143	$143	$63	44%	—	$80 – $206
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$164	$164	$72	44%	—	$91 – $236
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$190	$190	$84	44%	—	$106 – $273
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$214	$214	$95	44%	—	$119 – $309
17	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$214	$214	$95	44%	—	$120 – $309
18	UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges	$257	$257	$114	44%	—	$144 – $371
19	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$280	$280	$124	44%	—	$156 – $404
20	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$280	$280	$124	44%	—	$156 – $404
21	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$296	$296	$131	44%	—	$165 – $426
22	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$296	$296	$131	44%	—	$165 – $426
23	Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$298	$298	$132	44%	—	$166 – $430
24	UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges	$298	$298	$132	44%	2–20	$166 – $430
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$316	$316	$140	44%	—	$176 – $456

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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