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 Hips Infant Static Limited
Troy, NY
See all hospitals reporting CPT 76886 →Price type
Samaritan Hospital’s median price of $254 is 83% above the median hospital's median price ($139), higher than 74% of the 1,965 hospitals reporting CPT 76886. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 38 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 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Anthem empire medicaid facility · fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 3 | Excellus empire medicaid facility · fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 5 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · both | $57 | $57 | — | — | — | $57 – $57 |
| 6 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Anthem empire bcbs medicare advantage facility · other · both | $106 | $106 | — | — | — | $106 – $106 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $111 | $111 | — | — | — | $111 – $111 |
| 9 | Aetna aetna medicare advantage facility · other · both | $115 | $115 | — | — | — | $115 – $115 |
| 10 | WellCare wellcare medicare advantage facility · other · both | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Excellus blue shield of ne new york medicare adv facility · other · both | $120 | $120 | — | — | — | $120 – $120 |
| 12 | Highmark blue shield of ne new york medicare adv facility · other · both | $120 | $120 | — | — | — | $120 – $120 |
| 13 | WellCare wellcare ep 1&2 medicaid facility · other · both | $174 | $174 | — | — | — | $174 – $174 |
| 14 | Highmark blue shield of ne new york ascend facility · fee schedule · both | $201 | $201 | — | — | — | $201 – $201 |
| 15 | Anthem empire bcbs blue access facility · other · both | $225 | $225 | — | — | — | $225 – $225 |
| 16 | Aetna aetna facility · other · both | $237 | $237 | — | — | — | $237 – $237 |
| 17 | Medical Mutual aetna facility · other · both | $237 | $237 | — | — | — | $237 – $237 |
| 18 | Anthem empire bcbs hmo epo ppo indemnity facility · other · both | $250 | $250 | — | — | — | $250 – $250 |
| 19 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · both | $250 | $250 | — | — | — | $250 – $250 |
| 20 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · other · both | $250 | $250 | — | — | — | $250 – $250 |
| 21 | Wellmark empire bcbs hmo epo ppo indemnity facility · other · both | $250 | $250 | — | — | — | $250 – $250 |
| 22 | Blue Cross Blue Shield blue shield of ne new york hmo facility · fee schedule · both | $254 | $254 | — | — | — | $254 – $254 |
| 23 | Carefirst blue shield of ne new york hmo facility · fee schedule · both | $254 | $254 | — | — | — | $254 – $254 |
| 24 | Highmark blue shield of ne new york hmo facility · fee schedule · both | $254 | $254 | — | — | — | $254 – $254 |
| 25 | Wellmark blue shield of ne new york hmo facility · fee schedule · both | $254 | $254 | — | — | — | $254 – $254 |
Last updated: Mar 31, 2026
See Limited infant hip ultrasound with static imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.