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Obstetric ultrasound first trimester

CPT 76801 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$103.15
Median
$442.49
Max
$475.00
Range multiplier
4.6×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS416$99.59$400.43$512.275.1×
UnitedHealthcare310$87.20$113.54$726.678.3×
Aetna49$76.70$100.57$590.307.7×
Humana25$93.96$99.59$123.921.3×
harvard pilgrim33$600.63$600.69$623.061.0×
sentara health plan13$102.52$120.54$551.185.4×
Cigna23$63.70$599.19$640.0810.0×
Medicaid33$30.31$30.31$112.433.7×
Medicare11$103.15$103.15$103.151.0×
Multiplan11$87.00$87.00$87.001.0×
Self-Pay (Cash)11$103.15$103.15$103.151.0×
TRICARE11$103.15$103.15$103.151.0×
vhn11$711.20$711.20$711.201.0×
vhn - link11$800.10$800.10$800.101.0×
vhn - plus11$684.53$684.53$684.531.0×
vhn - secondary payors11$844.55$844.55$844.551.0×
vhn - ultra11$551.18$551.18$551.181.0×
WellCare11$103.15$103.15$103.151.0×
workers compensation11$174.45$174.45$174.451.0×
community health options11$76.27$76.27$76.271.0×
connecticare11$622.30$622.30$622.301.0×
First Health11$123.92$123.92$123.921.0×
gateway - tier 111$844.55$844.55$844.551.0×
gateway - tier 211$711.20$711.20$711.201.0×
gateway - tier 311$488.95$488.95$488.951.0×
martins point11$103.15$103.15$103.151.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Franklin Memorial HospitalFarmingtonME16$889.00$311.15$91.78$475.00$844.55
Bridgton HospitalBridgtonME4$967.50$299.00$30.31$442.49$600.69
Rumford HospitalRumfordME6$967.50$280.00$30.31$320.34$600.63
Central Maine Medical CenterLewistonME14$967.50$103.00$76.27$103.15$623.06
Redington-Fairview General HospitalSkowheganME0$658.00$493.50

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.