Limited pelvic ultrasound exam at UPMC Muncy

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

Muncy, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Muncy’s median price of $634 is 293% above the median hospital's median price ($161), higher than 95% 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 Muncy

Negotiated rates from the hospital’s own file: 7 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	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$24	$24	—	—	—	$24 – $24
2	Highmark medicaid facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
3	Amerihealth Caritas community healthchoices (chc) facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
4	Amerihealth Caritas medicaid facility · fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
5	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$180	$180	—	—	—	$180 – $180
6	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$185	$185	—	—	—	$185 – $185
7	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$189	$189	—	—	—	$189 – $189
8	UnitedHealthcare medicare facility · percent of total billed charges · outpatientfrom % of charges	$192	$192	—	—	—	$192 – $192
9	Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges	$470	$470	—	—	—	$470 – $470
10	Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
11	Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges	$513	$513	—	—	—	$513 – $513
12	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$553	$553	—	—	—	$553 – $553
13	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$571	$571	—	—	—	$571 – $571
14	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$600	$600	—	—	—	$600 – $600
15	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$604	$604	—	—	—	$604 – $604
16	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$634	$634	—	—	—	$634 – $634
17	Aetna first health facility · percent of total billed charges · inpatientfrom % of charges	$791	$791	—	—	—	$791 – $791
18	Aetna first health facility · percent of total billed charges · outpatientfrom % of charges	$791	$791	—	—	—	$791 – $791
19	First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges	$806	$806	—	—	—	$806 – $806
20	First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges	$806	$806	—	—	—	$806 – $806
21	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$819	$819	—	—	—	$819 – $819
22	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$819	$819	—	—	—	$819 – $819
23	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$821	$821	—	—	—	$821 – $821
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$821	$821	—	—	—	$821 – $821
25	MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges	$934	$934	—	—	—	$934 – $934

Page 1 of 2 · 31 rates

Last updated: Mar 6, 2026

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