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Obstetric ultrasound first trimester

CPT 76801 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$57.84
Median
$109.94
Max
$539.16
Range multiplier
9.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare21110$29.82$107.81$617.3420.7×
Medicare1382$45.57$103.71$165.943.6×
Medicaid1379$29.82$58.17$360.8012.1×
Aetna2270$55.59$116.59$849.6015.3×
Blue Cross Blue Shield1550$74.56$220.28$462.466.2×
Humana1939$45.57$105.87$121.942.7×
priority health op rate1024$67.68$167.71$546.538.1×
First Health824$61.54$204.77$466.577.6×
priority health918$40.00$67.79$474.7011.9×
smarthealth816$149.44$149.44$155.191.0×
Ambetter816$176.12$176.12$179.581.0×
Medicare Advantage916$103.70$106.74$107.501.0×
cofinity - auto op rate415$94.02$224.06$543.785.8×
hap preferred op rate414$60.59$142.84$580.949.6×
facility billing - op714$106.74$106.74$106.741.0×
WellCare714$106.74$106.74$106.741.0×
blue mcr replacement714$106.74$106.74$106.741.0×
Oscar Health714$170.78$170.78$170.781.0×
occunet714$197.47$218.82$240.161.2×
healthspring mcr replacement714$107.81$108.34$108.871.0×
Cigna1013$78.69$633.42$655.788.3×
hap - hmo op rate512$52.05$120.62$245.184.7×
TRICARE1011$74.26$101.39$110.851.5×
mclaren commercial ins811$59.00$59.00$221.263.8×
hp - ppo op rate410$87.22$159.15$312.493.6×
hp - hmo op rate410$64.54$117.49$234.823.6×
Multiplan29$112.00$145.60$608.005.4×
mclaren health advantage op rate29$50.83$180.79$275.965.4×
u of m health plan89$52.41$52.41$285.485.4×
cofinity - ppom op rate38$134.49$187.41$268.962.0×
mi amish medical board77$103.71$103.71$103.711.0×
bcn op rate27$140.00$158.00$374.262.7×
beech street op rate17$126.00$163.80$684.005.4×
cofinity w/c op rate17$89.19$115.95$484.205.4×
gift of life op rate17$98.00$127.40$532.005.4×
hap-hmo op rate17$63.15$82.10$342.845.4×
hospice care in michigan op rate17$70.00$91.00$380.005.4×
phpmm-commercial hmo op rate17$59.53$77.39$323.155.4×
usa mco-ppo op rate17$119.00$154.70$646.005.4×
hcap op rate36$94.38$131.15$257.552.7×
hap - ppo op rate36$87.22$127.63$207.862.4×
mhp - hmo op rate26$44.53$108.42$176.364.0×
health advantage - ppo op rate26$44.53$108.42$176.364.0×
mclaren health op rate45$51.37$156.91$340.216.6×
harbor health plan14$55.59$61.14$103.701.9×
health advantage - commercial op rate24$55.13$69.79$84.441.5×
hap/ahl op rate14$117.19$161.72$202.161.7×
cofinity wc op rate14$155.92$215.16$268.961.7×
hurley medical center op rate14$89.10$122.95$153.691.7×
great lakes research op rate24$94.38$119.46$144.541.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren Central MichiganMt PleasantMI16$432.80$216.40$29.82$98.68$324.60
Mclaren Northern MichiganPetoskeyMI14$783.20$391.60$29.82$74.56$587.40
Mclaren Thumb RegionBad AxeMI10$209.00$104.50$29.82$57.84$177.55
Karmanos Cancer HospitalDetroitMI15$467.30$66.47$539.16$707.20
Ascension St John HospitalDetroitMI3$1,321.00$488.77$61.54$420.03$420.03
Mclaren OaklandPontiacMI14$211.75$66.47$245.18$407.20
Mclaren FlintFlintMI26$664.60$332.30$29.82$165.94$466.57
Mclaren MacombMt. ClemensMI20$411.00$50.83$131.40$684.00
Tawas St. Joseph HospitalTawasMI10$1,440.00$475.20$78.69$121.94$849.60
Mclaren Bay Special CareBay CityMI18$125.25$55.13$118.26$240.90
Ascension Borgess-Lee HospitalDowagiacMI13$1,242.00$496.80$106.74$109.94$633.42
Genesys Regional Medical Ctr.Grand BlancMI13$1,242.00$496.80$106.74$109.94$633.42
Ascension Standish HospitalStandishMI13$1,242.00$496.80$106.74$109.94$633.42
Borgess-Pipp Health CenterPlainwellMI13$1,242.00$496.80$106.74$109.94$633.42
Ascension Borgess HospitalKalamazooMI13$1,242.00$496.80$106.74$109.94$633.42
Ascension Providence Rochester HospiRochesterMI13$1,242.00$496.80$106.74$109.94$633.42
Ascension Allegan HospitalAlleganMI13$1,242.00$496.80$106.74$109.94$633.42
Mclaren Port HuronPort HuronMI28$416.00$208.00$29.82$104.99$343.40
Mclaren Greater LansingLansingMI19$700.40$350.20$29.82$103.71$490.28
Bay Regional Medical CenterBay CityMI24$288.80$144.40$29.82$103.71$294.85
Garden City Hospital OsteopathicGarden CityMI21$851.00$103.00$21.05$103.70$160.74
Mclaren Lapeer RegionLapeerMI23$436.80$218.40$29.82$101.51$360.80
Mackinac Straits Health System IncSt. IgnaceMI0$661.00$462.70
Mckenzie Health SystemSanduskyMI0$768.00$614.40
Sparrow Clinton HospitalSt. JohnsMI0$521.00$130.25
Sparrow EatonCharlotteMI0$521.00$130.25
North Ottawa Community HospitalGrand HavenMI0$528.00$369.60
Mh - Mercy CampusMuskegonMI0$793.40$380.83
Carson City HospitalCarson CityMI0$785.00$196.25
Southeast Michigan Surgical HospitalWarrenMI0$580.00$464.00

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.