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
US PELVIC LTD/FOLLOW UP
Everett, PA
See all hospitals reporting CPT 76857 →Price type
UPMC Bedford’s median price of $207 is 28% above the median hospital's median price ($161), higher than 60% of the 2,596 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: 7 payers, 39 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 unison medplus facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 2 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Aetna medicaid facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 4 | Highmark medicaid facility · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 5 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $71 | $71 | $34 | 48% | — | $37 – $104 |
| 7 | Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Highmark medicare facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 10 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 11 | Cigna medicare facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 12 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 13 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 16 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 17 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
| 18 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $176 | $176 | — | — | — | $176 – $176 |
| 19 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $191 | $191 | — | — | — | $191 – $191 |
| 20 | UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 21 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $205 | $205 | — | — | — | $205 – $205 |
| 22 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 23 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $223 | $223 | — | — | — | $223 – $223 |
| 24 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 25 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $230 | $230 | — | — | — | $230 – $230 |
Last updated: Mar 6, 2026
See Limited pelvic ultrasound exam pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.