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
HC US Retroperitoneal Lmtd
Utica, NY
See all hospitals reporting CPT 76775 →Price type
MVHS, Inc.’s median price of $131 is 25% below the median hospital's median price ($175), higher than 32% of the 2,656 hospitals reporting CPT 76775. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 28 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 | Excellus excellus bcbs medicaid fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 3 | Molina misc medicaid mco fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 4 | UnitedHealthcare uhc essential plan fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 6 | WellCare hb mvhs wellcare medicaid fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 7 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 8 | Humana humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 9 | Tricare humana military other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 10 | Excellus excellus bcbs medicare advantage other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 11 | Humana humana medicare advantage other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 12 | Medicare medicare other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 13 | Optum vaccn optum other · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 14 | UnitedHealthcare uhc medicare advantage other · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 15 | Aetna aetna medicare advantage other · outpatient | $133 | $133 | — | — | 1–10 | $133 – $133 |
| 16 | WellCare wellcare medicare advantage other · outpatient | $134 | $134 | — | — | — | $134 – $134 |
| 17 | Cigna mvp and cigna commercial other · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 18 | Excellus excellus bcbs medicaid percent of total billed charges · inpatientfrom % of charges | $504 | $504 | — | — | — | $504 – $504 |
| 19 | UnitedHealthcare uhc commercial case rate · both | $588 | $588 | — | — | — | $588 – $588 |
| 20 | UnitedHealthcare uhc empire plan percent of total billed charges · inpatientfrom % of charges | $763 | $763 | — | — | — | $763 – $763 |
| 21 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 24 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
Last updated: Aug 7, 2026
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