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
Pittsburgh, PA
See all hospitals reporting CPT 76857 →Price type
UPMC Presbyterian’s median price of $385 is 139% above the median hospital's median price ($161), higher than 82% of the 2,651 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: 8 payers, 24 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Aetna chip/medicaid facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Highmark medicare advantage facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 6 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 7 | Cigna medicare transplant facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 8 | Highmark medicare facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 10 | Aetna medicare facility · fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 11 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 12 | Highmark managed care - social mission facility · fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 13 | MultiPlan worker's compensation facility · fee schedule · outpatient | $176 | $176 | — | — | — | $176 – $176 |
| 14 | Highmark managed care facility · fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
| 15 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 16 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $325 | $325 | — | — | — | $325 – $325 |
| 17 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $385 | $385 | — | — | — | $385 – $385 |
| 18 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $385 | $385 | — | — | — | $385 – $385 |
| 19 | Highmark commercial - indemnity facility · fee schedule · outpatient | $436 | $436 | — | — | — | $436 – $436 |
| 20 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $440 | $440 | — | — | — | $440 – $440 |
| 21 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $440 | $440 | — | — | — | $440 – $440 |
| 22 | Highmark upmc emergent facility · fee schedule · outpatient | $462 | $462 | — | — | — | $462 – $462 |
| 23 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $468 | $468 | — | — | — | $468 – $468 |
| 24 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $468 | $468 | — | — | — | $468 – $468 |
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.