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Obstetric ultrasound first trimester

CPT 76801 · negotiated-rate distribution across hospitals in WI

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Hospitals
34
Min
$121.47
Median
$321.29
Max
$1,110.51
Range multiplier
9.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare28114$43.90$586.00$964.0022.0×
Anthem BCBS18106$43.90$408.00$1,244.2928.3×
Cigna2252$87.64$905.22$1,098.2312.5×
healthpartners1248$372.00$640.25$802.502.2×
Aetna1341$301.00$883.82$17,93459.6×
Humana636$46.10$188.72$1,194.3825.9×
common ground1236$368.00$368.00$368.001.0×
wisconsin physician service1236$499.00$525.00$525.001.1×
Medicare1430$81.40$103.26$324.324.0×
trilogy2125$519.00$526.00$1,207.802.3×
Molina1824$101.14$392.00$1,140.7011.3×
health eos1224$856.00$856.00$856.001.0×
health eos plus1224$642.00$642.00$642.001.0×
VA Health1122$102.23$103.26$108.061.1×
wps721$171.43$243.88$415.312.4×
aspirus217$43.90$192.74$785.8717.9×
Blue Cross Blue Shield417$78.25$209.50$870.0011.1×
health payment systems1517$525.00$525.00$1,032.332.0×
centivo1416$383.00$383.00$951.802.5×
network health plan616$78.01$194.75$1,120.5714.4×
smart health714$144.56$144.56$151.281.0×
aurora caregiver1212$300.00$300.00$300.001.0×
quartz one1212$315.00$315.00$315.001.0×
quartz group1212$370.00$370.00$370.001.0×
First Health612$178.76$852.72$1,288.327.2×
hs technology1212$366.00$366.00$366.001.0×
everpointe elite1212$406.00$406.00$406.001.0×
security health plan310$93.90$406.03$1,012.8110.8×
Multiplan310$775.20$1,134.84$1,274.901.6×
alliance39$166.46$236.81$403.272.4×
prevea 36019$43.90$266.05$1,113.3125.4×
centivo nw128$121.47$208.95$294.182.4×
health partners38$101.14$863.87$1,274.9012.6×
centivo nw328$121.47$208.95$294.182.4×
wps health plan27$670.13$793.58$1,098.231.6×
Medicaid26$87.62$221.52$299.093.4×
froedtert health16$617.23$801.84$1,037.211.7×
group health cooperative of eau claire26$705.40$1,100.44$1,274.901.8×
cchp26$114.16$188.57$302.712.7×
quartz health insurance16$749.49$893.35$1,037.211.4×
mercy care15$109.55$293.30$434.854.0×
dean health plan25$484.50$705.40$976.202.0×
illinicare14$43.90$83.61$108.402.5×
meridiancare14$46.10$85.22$113.822.5×
WellCare24$107.34$107.34$107.341.0×
health partners open network14$92.77$191.54$478.075.2×
common ground healthcare cooperative14$661.31$832.34$1,037.211.6×
smarthealth24$143.12$143.12$143.121.0×
trilogy health solutions14$661.31$832.34$1,037.211.6×
medica [900156]34$177.67$671.35$773.344.4×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens WisconsinMilwaukeeWI29$1,220.25$671.14$617.23$845.92$1,159.24
Holy Family Memorial IncManitowocWI25$969.00$532.95$101.14$581.40$852.72
West Allis Memorial HospitalWest AllisWI18$1,070.00$535.00$300.00$553.50$17,934
Aurora Medical Center - HartfordHartfordWI18$1,070.00$535.00$300.00$526.00$909.50
Memorial Hospital Of BurlingtonBurlingtonWI18$1,070.00$535.00$300.00$526.00$909.50
Aurora Health Care Metro Inc.MilwaukeeWI18$1,070.00$535.00$300.00$526.00$909.50
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$1,070.00$535.00$300.00$526.00$909.50
Sheboygan Memorial HospitalSheboyganWI18$1,070.00$535.00$300.00$526.00$909.50
Aurora Lakeland Medical CenterElkhornWI18$1,070.00$535.00$300.00$526.00$909.50
Aurora Medical Center KenoshaKenoshaWI18$1,070.00$535.00$300.00$526.00$909.50
Aurora Medical Center Of OshkoshOshkoshWI18$1,070.00$535.00$300.00$526.00$909.50
Aurora Medical Center - SummitSummitWI18$1,070.00$535.00$300.00$526.00$909.50
Aurora Medical Center GraftonGraftonWI18$1,070.00$535.00$300.00$526.00$909.50
Aurora Medical Center - Bay AreaMarinetteWI18$1,070.00$535.00$300.00$525.00$905.22
Amery Regional Medical CenterAmeryWI6$866.00$451.53$258.59$321.29$839.67
Westfields HospitalNew RichmondWI8$753.00$396.08$81.40$267.82$753.00
Hudson HospitalHudsonWI8$624.00$281.49$132.41$213.54$964.00
Ascension Columbia St Marys MilwaukeMilwaukeeWI8$1,169.00$619.57$78.01$188.72$403.27
Ascension Columbia St Marys OzaukeeMequonWI8$1,169.00$619.57$78.01$188.72$403.27
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$824.00$436.72$78.01$188.72$403.27
Wheaton Franciscan Healthcare - AllRacineWI7$693.00$367.29$108.06$161.36$540.54
All Saints - St. Luke S HospitalRacineWI7$693.00$367.29$108.06$161.36$540.54
MoshFranklinWI6$103.26$158.00$519.00
Ascension Se Wisconsin Hospital IncMilwaukeeWI7$693.00$367.29$103.26$158.00$540.54
Wfhc - Elmbrook MemorialBrookfieldWI7$693.00$367.29$103.26$158.00$540.54
Wheaton Franciscan - FranklinFranklinWI7$693.00$367.29$103.26$158.00$540.54
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI7$693.00$367.29$103.26$158.00$540.54
Meriter Hospital Inc.MadisonWI14$1,309.78$1,047.83$43.90$146.16$1,244.29
Mercy Medical CenterOshkoshWI9$258.00$147.06$50.25$121.47$302.71
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$258.00$147.06$50.25$121.47$302.71
Beaver Dam Community HospitalsBeaver DamWI17$1,342.00$1,274.90$332.70$1,110.51$1,288.32
River Falls Area HospitalRiver FallsWI0$912.10$510.78
Uw Health Rehabilitation HospitalMadisonWI0$886.00$531.60
University Of Wi Hospitals & ClinicsMadisonWI0$886.00$531.60

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.