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
PR US PELVIS, NON-OB
Quitman, MS
See all hospitals reporting CPT 76857 →Price type
Rush Medical Foundation’s median price of $82 is 49% below the median hospital's median price ($161), higher than 11% 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: 11 payers, 23 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 | Humana all payor fee schedule · outpatient | $40 | $40 | $4 | 10% | — | $35 – $44 |
| 2 | Cigna Healthspring all payor fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Optum all payor fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 4 | WellCare all payor fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Molina all payor fee schedule · outpatient | $44 | $53 | $16 | 31% | — | $44 – $81 |
| 6 | Ambetter all payor fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 7 | Aetna all payor fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 8 | UnitedHealthcare all payor fee schedule · outpatient | $53 | $88 | $57 | 65% | — | $44 – $174 |
| 9 | Humana all payor percent of total billed charges · outpatientfrom % of charges | $94 | $94 | $28 | 30% | — | $66 – $122 |
| 10 | Cigna all payor other · outpatient | $111 | $111 | $33 | 30% | — | $78 – $145 |
| 11 | Cigna Healthspring all payor other · outpatient | $116 | $116 | $35 | 30% | — | $81 – $151 |
| 12 | Humana all payor other · outpatient | $116 | $116 | $35 | 30% | — | $81 – $151 |
| 13 | Optum all payor other · outpatient | $116 | $116 | $35 | 30% | — | $81 – $151 |
| 14 | UnitedHealthcare all payor other · outpatient | $116 | $116 | $35 | 30% | — | $81 – $151 |
| 15 | Ambetter all payor other · outpatient | $117 | $117 | $35 | 30% | — | $82 – $152 |
| 16 | Molina all payor other · outpatient | $117 | $117 | $35 | 30% | — | $82 – $152 |
| 17 | WellCare all payor other · outpatient | $117 | $117 | $35 | 30% | — | $82 – $152 |
| 18 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $130 | $130 | $39 | 30% | — | $91 – $169 |
| 19 | Cigna all payor fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 20 | MultiPlan all payor percent of total billed charges · outpatientfrom % of charges | $150 | $150 | $45 | 30% | — | $105 – $195 |
| 21 | Bcbs Ms all payor other · outpatient | $160 | $160 | $48 | 30% | — | $112 – $208 |
| 22 | MultiPlan all payor fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 23 | Bcbs Ms all payor fee schedule · outpatient | $137 | $183 | $97 | 53% | — | $118 – $351 |
Last updated: Apr 1, 2026
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