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Retroperitoneal ultrasound complete

CPT 76770 · negotiated-rate distribution across hospitals in SD

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Hospitals
5
Min
$686.75
Median
$994.25
Max
$1,004.50
Range multiplier
1.5×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE472$111.19$378.43$706.776.4×
UnitedHealthcare536$287.00$1,004.50$5,914.0020.6×
Blue Cross Blue Shield527$294.18$912.25$5,914.0020.1×
govt employees health assn [3081090]424$676.50$1,004.50$1,004.501.5×
Cigna424$984.00$1,014.75$1,014.751.0×
medica (commercial) 94265 [3081118]424$850.75$1,004.50$1,004.501.2×
healthpartners [3081368]523$113.00$1,004.50$1,004.508.9×
Meritain Health416$984.00$1,014.75$1,014.751.0×
national telephone cooperative assn 52103 [3081149]416$676.50$1,004.50$1,004.501.5×
risk admin svs [3081167]416$186.89$503.45$820.004.4×
Aetna412$922.50$948.13$973.751.1×
Humana510$110.68$1,025.00$5,914.0053.4×
avera health plans 46045 [3081018]59$753.38$994.25$994.251.3×
tlc advantage llc [3081189]59$891.75$963.50$1,003.921.1×
health partners sx009 [3081102]48$635.50$1,004.50$1,004.501.6×
key benefit administrators [3081332]48$984.00$1,014.75$1,014.751.0×
fedmed inc [3081283]48$973.75$994.25$994.251.0×
midlands choice 47080 [3081136]48$984.00$1,014.75$1,014.751.0×
employee benefit management 12x44 [3081079]48$871.25$922.50$922.501.1×
pacificsource health plans [3081333]48$871.25$922.50$922.501.1×
preferred one 41147 [3081160]48$984.00$1,014.75$1,014.751.0×
coresource 38225 [3081146]48$666.25$922.50$922.501.4×
rocky mountain admin llc 83028 [3081168]48$820.00$922.50$922.501.1×
sanford health plan 91184 [3081174]48$922.50$994.25$994.251.1×
surest [3081369]48$676.50$1,004.50$1,004.501.5×
allied benefit systems inc [3081320]48$984.00$1,014.75$1,014.751.0×
va black hills health care system 12115 [3081206]44$105.41$287.00$379.253.6×
Multiplan24$922.50$958.38$994.251.1×
Medicare44$287.00$333.13$5,914.0020.6×
group and pension administrators inc [3081098]24$922.50$958.38$994.251.1×
va ccn optum [3081339]44$105.41$287.00$379.253.6×
VA Health33$287.00$287.00$379.251.3×
va black hills health care system 12115 [3081207]33$287.00$287.00$379.251.3×
Health Net33$287.00$287.00$379.251.3×
triwest healthcare alliance [3081322]33$287.00$287.00$379.251.3×
minnesota health care programs 12k16 [3081295]12$310.58$310.58$310.581.0×
healthpartners sx009 [3081102]11$177.04$177.04$177.041.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Monument Health Lead-Deadwood HospitDeadwoodSD33$1,025.00$1,025.00$186.89$994.25$1,025.00
Monument Health Sturgis RegionalSturgisSD33$1,025.00$1,025.00$186.89$994.25$1,025.00
Monument Health Spearfish HospitalSpearfishSD8$1,068.00$1,068.00$177.04$894.45$5,914.00
Monument Health Rapid City HospitalRapid CitySD31$1,025.00$1,025.00$105.41$686.75$984.00
Monument Health Custer HospitalCusterSD35$1,025.00$1,025.00$186.89$1,004.50$1,025.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.