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 PELVIC NON-OB,LMTD OR FOLLOW-UP
Forsyth, GA
See all hospitals reporting CPT 76857 →Price type
Monroe County Hospital’s median price of $168 is 4% above the median hospital's median price ($161), higher than 51% of the 2,651 hospitals reporting CPT 76857. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 10 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 medicare fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 2 | WellCare medicare fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Caresource medicaid percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | 1–10 | $95 – $95 |
| 4 | Humana medicare percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 5 | Blue Cross Blue Shield medicare percent of total billed charges · outpatientfrom % of charges | $103 | $149 | $66 | 44% | — | $103 – $243 |
| 6 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 7 | Cigna commercial case rate · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 8 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 9 | Humana commercial percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 10 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
Last updated: May 7, 2026
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