Ultrasound of additional fetus before 14 weeks at St. Joseph Health System, LLC

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
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

US-PLV PRG 14 WKS AD

Wayne, IN

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Pricing by billing methodology

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How this price compares nationally

St. Joseph Health System, LLC’s median price of $150 is 12% below the median hospital's median price ($171), higher than 46% of the 2,219 hospitals reporting CPT 76802. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76802 at St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 10 payers, 31 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	Anthem anthem in medicaid facility · other · outpatient	$69	$69	—	—	—	$69 – $69
2	Caresource caresource hhw in medicaid facility · other · outpatient	$69	$69	—	—	—	$69 – $69
3	Caresource caresource in hip facility · other · outpatient	$69	$69	—	—	—	$69 – $69
4	Humana humana pathways in medicaid facility · other · outpatient	$69	$69	—	—	—	$69 – $69
5	Medicaid in medicaid facility · other · outpatient	$69	$69	—	—	—	$69 – $69
6	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$69	$69	—	—	—	$69 – $69
7	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$69	$69	—	—	—	$69 – $69
8	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	$20	21%	—	$77 – $117
9	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$82	$169	$143	85%	—	$54 – $375
10	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$82	$169	$143	85%	—	$54 – $375
11	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$92	$189	$160	85%	—	$61 – $421
12	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$92	$189	$160	85%	—	$61 – $421
13	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$92	$189	$160	85%	—	$61 – $421
14	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$117	$240	$203	85%	—	$77 – $534
15	Aetna aetna itec facility · percent of total billed charges · inpatientfrom % of charges	$173	$355	$301	85%	—	$114 – $789
16	Aetna aetna itec facility · percent of total billed charges · outpatientfrom % of charges	$173	$355	$301	85%	—	$114 – $789
17	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$175	$360	$305	85%	—	$115 – $800
18	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$175	$360	$305	85%	—	$115 – $800
19	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$191	$392	$332	85%	—	$125 – $870
20	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$191	$392	$332	85%	—	$125 – $870
21	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$198	$407	$345	85%	—	$130 – $905
22	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$198	$407	$345	85%	—	$130 – $905
23	Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges	$203	$418	$354	85%	—	$134 – $928
24	Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges	$203	$418	$354	85%	—	$134 – $928
25	Cigna cigna indemnity facility · percent of total billed charges · inpatientfrom % of charges	$254	$522	$442	85%	—	$167 – $1.2k

Page 1 of 2 · 31 rates

Last updated: Apr 1, 2026

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