Limited pelvic ultrasound exam at UPMC Mercy

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

US PELVIC LTD/FOLLOW UP

Pittsburgh, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Mercy’s median price of $254 is 57% above the median hospital's median price ($161), higher than 68% of the 2,651 hospitals reporting CPT 76857. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 76857 at UPMC Mercy

Negotiated rates from the hospital’s own file: 7 payers, 29 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 pa medicaid facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
2	Highmark medicaid facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$51	$51	—	—	—	$51 – $51
4	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
5	Aetna medicare facility · fee schedule · outpatient	$109	$109	$3	2%	—	$106 – $112
6	Amerihealth Caritas medicare facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
7	Highmark medicare facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
8	Highmark managed care - social mission facility · fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
9	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$186	$186	—	—	—	$186 – $186
10	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$203	$203	—	—	—	$203 – $203
11	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$204	$204	—	—	—	$204 – $204
12	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$207	$207	—	—	—	$207 – $207
13	Highmark managed care facility · fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
14	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$222	$222	—	—	—	$222 – $222
15	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$227	$227	—	—	—	$227 – $227
16	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$227	$227	—	—	—	$227 – $227
17	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
18	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$254	$254	—	—	—	$254 – $254
19	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
20	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$267	$267	—	—	—	$267 – $267
21	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$274	$274	—	—	—	$274 – $274
22	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$293	$293	—	—	—	$293 – $293
23	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
24	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$294	$294	—	—	—	$294 – $294
25	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$334	$334	$67	20%	—	$267 – $401

Page 1 of 2 · 29 rates

Last updated: Mar 6, 2026

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