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Obstetric ultrasound first trimester

CPT 76801 · negotiated-rate distribution across hospitals in MA

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Hospitals
13
Min
$114.39
Median
$207.40
Max
$498.74
Range multiplier
4.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare736$52.21$143.22$1,252.0024.0×
Blue Cross Blue Shield736$90.20$261.19$1,491.0016.5×
Aetna725$116.00$248.81$3,155.8827.2×
institution [10406]420$125.29$1,140.62$1,491.0011.9×
Cigna714$100.51$347.11$826.528.2×
Medicaid49$125.29$329.16$775.326.2×
correctional care [11003]38$125.29$126.07$826.526.6×
medcost16$158.39$240.24$378.832.4×
First Health55$380.25$474.75$1,118.252.9×
tufts [11201]35$282.30$342.47$376.741.3×
Multiplan45$474.75$531.90$1,118.252.4×
hsno/free care [10801]44$294.30$672.16$680.812.3×
Humana34$110.63$334.47$561.455.1×
mgb mcr [10124]44$125.29$131.56$131.561.1×
connecticare [11105]44$507.00$1,062.00$1,491.002.9×
wellpoint [11112]44$198.35$198.35$198.351.0×
amerihealth24$85.70$139.85$191.842.2×
tufts us family [11203]44$125.29$126.07$126.841.0×
workers compensation [20501]44$101.64$101.64$101.641.0×
fallon connectorcare [10503]44$253.44$480.09$706.732.8×
fallon mcaid carelon hlth [29]44$507.00$1,062.00$1,491.002.9×
tufts connectorcare [10507]44$213.12$213.12$213.121.0×
grants [20507]44$507.00$1,062.00$1,491.002.9×
CHAMPVA44$113.66$130.77$135.251.2×
senior whole health [10110]44$134.06$134.89$135.721.0×
hne [11108]44$329.96$512.80$672.442.0×
Medicare33$125.29$125.29$125.291.0×
upmc health plan13$112.78$117.73$168.181.5×
tufts dual [10111]33$125.29$125.29$125.291.0×
evernorth behavioral health [27]33$405.60$1,192.80$1,192.802.9×
geisinger13$100.91$111.71$2,857.6328.3×
pennsylvania health and wellness13$105.11$112.78$198.711.9×
masshealth mcd mbhp [38]33$507.00$1,491.00$1,491.002.9×
fallon mcr [10105]33$131.56$131.56$131.561.0×
commonwealth care mcr [10115]33$131.56$131.56$131.561.0×
wellpoint13$57.00$119.31$423.517.4×
eternalhealth mcr replace [10116]22$131.56$131.56$131.561.0×
automobile [10401]22$1,491.00$1,491.00$1,491.001.0×
devon health12$3,398.64$3,398.64$3,398.641.0×
directnet12$349.28$349.28$349.281.0×
fallon carelon hlth [28]22$507.00$570.00$633.001.2×
fallon mcr supp [20202]22$131.56$131.56$131.561.0×
fidelis care12$119.31$156.10$192.881.6×
harvard pilgrim mcr supp [20203]22$131.56$131.56$131.561.0×
health partners plans12$105.11$108.95$112.781.1×
hp optum bh [32]22$507.00$570.00$633.001.2×
keystone first12$109.56$591.11$1,072.659.8×
optum transplant [20601]22$1,491.00$1,491.00$1,491.001.0×
oscar12$177.30$206.85$236.401.3×
private healthcare systems12$484.62$484.62$484.621.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Marlborough HospitalMarlboroughMA36$1,491.00$1,491.00$101.64$498.74$1,491.00
Umass Memorial Medical CenterWorcesterMA36$1,491.00$1,491.00$101.64$498.74$1,491.00
High Point HospitalMiddleboroughMA19$591.00$295.50$85.70$250.79$561.45
Harrington Memorial HospitalSouthbridgeMA29$507.00$507.00$101.64$207.40$680.81
Healthalliance-ClintonLeominsterMA31$633.00$633.00$101.64$202.88$633.00
Beth Israel Deaconess - PlymouthPlymouthMA13$743.00$154.76$57.00$143.22$693.44
Chestnut Hill Benevolent AssociationChestnut HillMA19$3,468.00$52.21$114.39$3,398.64
Fairview HospitalGreat BarringtonMA0$1,137.99$1,081.09
Whittier Hospital-BradfordBradfordMA0$112.08$112.08
Whittier Hospital-WestboroughWestboroughMA0$112.00$112.00
North Adams Regional HospitalNorth AdamsMA0$1,137.99$1,081.09
North Shore Medical CenterSalemMA0$1,461.69$1,461.69
Berkshire Medical CenterPittsfieldMA0$1,137.99$1,081.09

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.