Limited ultrasound of the abdominal back wall at Shannon River Crest Hospital

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-Abdomen Retro Lmt

San Angelo, TX

See all hospitals reporting CPT 76775 →

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Pricing by billing methodology

Price type

How this price compares nationally

Shannon River Crest Hospital’s median price of $375 is 115% above the median hospital's median price ($175), higher than 77% of the 2,656 hospitals reporting CPT 76775. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76775 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 8 payers, 18 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	Molina managed medicaid facility · fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
2	Humana medicare advantage facility · case rate · outpatient	$100	$100	—	—	—	$100 – $100
3	Ambetter ppo facility · case rate · outpatient	$215	$215	—	—	—	$215 – $215
4	Bcbs Tx hmo facility · fee schedule · outpatient	$342	$342	—	—	—	$342 – $342
5	Bcbs Tx bav facility · fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
6	Bcbs Tx ppo facility · fee schedule · outpatient	$360	$360	—	—	—	$360 – $360
7	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$574	$574	—	—	—	$574 – $574
8	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$574	$574	—	—	—	$574 – $574
9	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$626	$626	—	—	—	$626 – $626
10	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$652	$652	—	—	—	$652 – $652
11	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$652	$652	—	—	—	$652 – $652
12	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$652	$652	—	—	—	$652 – $652
13	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$652	$652	—	—	—	$652 – $652
14	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$652	$652	—	—	—	$652 – $652
15	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$678	$678	—	—	—	$678 – $678
16	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$678	$678	—	—	—	$678 – $678
17	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$695	$695	—	—	—	$695 – $695
18	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$695	$695	—	—	—	$695 – $695

Last updated: Dec 8, 2025

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