Limited pelvic ultrasound exam at Mount Carmel Dublin

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

HC US Pelvis Non-Obstetric Limited/Follow Up

Dublin, OH

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Pricing by billing methodology

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How this price compares nationally

Mount Carmel Dublin’s median price of $157 is 2% below the median hospital's median price ($161), higher than 48% 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 Mount Carmel Dublin

Negotiated rates from the hospital’s own file: 14 payers, 26 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 aetna medicare advantage facility · other · both	$99	$99	—	—	1–10	$99 – $99
2	Anthem anthem bcbs medicare advantage facility · other · both	$99	$99	—	—	—	$99 – $99
3	UnitedHealthcare united healthcare medicare advantage facility · other · both	$101	$101	—	—	—	$101 – $101
4	Medical Mutual medical mutual medicare advantage facility · other · both	$101	$101	—	—	—	$101 – $101
5	Oscar oscar facility · other · both	$101	$101	—	—	—	$101 – $101
6	Aetna aetna better health medicare advantage facility · other · both	$104	$104	—	—	—	$104 – $104
7	Molina molina medicare advantage facility · other · both	$104	$104	—	—	—	$104 – $104
8	Caresource caresource medicare advantage facility · other · both	$104	$104	—	—	—	$104 – $104
9	Aetna aetna asa meritain facility · percent of total billed charges · bothfrom % of charges	$151	$151	—	—	—	$151 – $151
10	Aetna aetna neighborhood narrow network facility · percent of total billed charges · bothfrom % of charges	$157	$157	—	—	—	$157 – $157
11	Medcost cofinity facility · percent of total billed charges · bothfrom % of charges	$157	$157	—	—	—	$157 – $157
12	Aetna aetna facility · percent of total billed charges · bothfrom % of charges	$159	$159	—	—	—	$159 – $159
13	Cigna cigna facility · fee schedule · both	$167	$167	—	—	—	$167 – $167
14	Humana choice care humana facility · percent of total billed charges · bothfrom % of charges	$172	$172	—	—	—	$172 – $172
15	Humana humana one facility · percent of total billed charges · bothfrom % of charges	$172	$172	—	—	—	$172 – $172
16	First Health aetna first health facility · percent of total billed charges · bothfrom % of charges	$178	$178	—	—	—	$178 – $178
17	Medical Mutual medical mutual medflex facility · other · both	$248	$248	—	—	—	$248 – $248
18	MultiPlan multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$269	$269	—	—	—	$269 – $269
19	Phcs multiplan phcs facility · percent of total billed charges · bothfrom % of charges	$269	$269	—	—	—	$269 – $269
20	Anthem anthem bcbs pathway grp hmo facility · other · both	$313	$313	—	—	—	$313 – $313
21	Amerihealth Caritas amerihealth caritas medicaid facility · percent of total billed charges · bothfrom % of charges	$337	$337	—	—	—	$337 – $337
22	Anthem anthem bcbs blue trad facility · percent of total billed charges · bothfrom % of charges	$337	$337	—	—	—	$337 – $337
23	Humana humana medicaid facility · percent of total billed charges · bothfrom % of charges	$337	$337	—	—	—	$337 – $337
24	Medical Mutual medical mutual supermed ppo pos hmo facility · other · both	$342	$342	—	—	—	$342 – $342
25	UnitedHealthcare united healthcare exchange facility · per diem · both	$461	$461	—	—	—	$461 – $461

Page 1 of 2 · 26 rates

Last updated: Mar 31, 2026

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See Limited pelvic ultrasound exam pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.