Limited pelvic ultrasound exam at UPMC Northwest

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

Seneca, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Northwest’s median price of $236 is 46% above the median hospital's median price ($161), higher than 65% 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 Northwest

Negotiated rates from the hospital’s own file: 7 payers, 30 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 kids facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
2	Aetna medicaid facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
3	Highmark medicaid facility · fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
5	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
6	Aetna medicare facility · fee schedule · outpatient	$105	$105	$1	1%	—	$104 – $106
7	UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient	$106	$106	—	—	—	$106 – $106
8	Highmark medicare facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
9	Amerihealth Caritas medicare facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
10	UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
11	Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient	$179	$179	—	—	—	$179 – $179
12	Highmark commercial - indemnity/managed care facility · fee schedule · outpatient	$220	$220	—	—	—	$220 – $220
13	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
14	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
15	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
16	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$236	$236	—	—	—	$236 – $236
17	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$342	$342	—	—	—	$342 – $342
18	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
19	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$354	$354	—	—	—	$354 – $354
20	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$364	$364	—	—	—	$364 – $364
21	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$366	$366	—	—	—	$366 – $366
22	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$372	$372	—	—	—	$372 – $372
23	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$372	$372	—	—	—	$372 – $372
24	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$376	$376	—	—	—	$376 – $376
25	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$384	$384	—	—	—	$384 – $384

Page 1 of 2 · 30 rates

Last updated: Mar 6, 2026

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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.