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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
$207.4
Max
$498.74
Range multiplier
4.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare736$52.21$143.22$1,25224.0×
Blue Cross Blue Shield736$90.2$261.19$1,49116.5×
Aetna725$116$248.81$3,155.8827.2×
institution [10406]420$125.29$1,140.62$1,49111.9×
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$282.3$342.47$376.741.3×
Multiplan45$474.75$531.9$1,118.252.4×
hsno/free care [10801]44$294.3$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$1,062$1,4912.9×
wellpoint [11112]44$198.35$198.35$198.351.0×
amerihealth24$85.7$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$1,062$1,4912.9×
tufts connectorcare [10507]44$213.12$213.12$213.121.0×
grants [20507]44$507$1,062$1,4912.9×
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$512.8$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$405.6$1,192.8$1,192.82.9×
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$1,491$1,4912.9×
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$119.31$423.517.4×
eternalhealth mcr replace [10116]22$131.56$131.56$131.561.0×
automobile [10401]22$1,491$1,491$1,4911.0×
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$570$6331.2×
fallon mcr supp [20202]22$131.56$131.56$131.561.0×
fidelis care12$119.31$156.1$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$570$6331.2×
keystone first12$109.56$591.11$1,072.659.8×
optum transplant [20601]22$1,491$1,491$1,4911.0×
oscar12$177.3$206.85$236.41.3×
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$1,491$101.64$498.74$1,491
UMASS MEMORIAL MEDICAL CENTERWORCESTERMA36$1,491$1,491$101.64$498.74$1,491
HIGH POINT HOSPITALMIDDLEBOROUGHMA19$591$295.5$85.7$250.79$561.45
HARRINGTON MEMORIAL HOSPITALSOUTHBRIDGEMA29$507$507$101.64$207.4$680.81
HEALTHALLIANCE-CLINTONLEOMINSTERMA31$633$633$101.64$202.88$633
BETH ISRAEL DEACONESS - PLYMOUTHPLYMOUTHMA13$743$154.76$57$143.22$693.44
CHESTNUT HILL BENEVOLENT ASSOCIATIONCHESTNUT HILLMA19$3,468$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$112
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.