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Obstetric ultrasound after first trimester

CPT 76805 · negotiated-rate distribution across hospitals in MI

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Hospitals
29
Min
$56.72
Median
$109.94
Max
$528.12
Range multiplier
9.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare21103$30.03$107.81$737.124.5×
Medicare1382$45.87$103.71$165.943.6×
Medicaid1379$30.03$58.17$715.923.8×
Aetna2265$55.59$116.39$1,024.8318.4×
Blue Cross Blue Shield1547$75.1$295.79$715.99.5×
Humana1939$45.87$105.87$121.942.7×
First Health822$61.14$397.3$848.9813.9×
priority health op rate1021$67.68$325.2$642.649.5×
Ambetter816$176.12$176.12$179.581.0×
Medicare Advantage916$103.7$106.74$107.51.0×
smarthealth816$149.44$149.44$155.191.0×
priority health915$40$68.27$418.810.5×
blue mcr replacement714$106.74$106.74$106.741.0×
WellCare714$106.74$106.74$106.741.0×
Oscar Health714$170.78$170.78$170.781.0×
occunet714$197.47$218.82$240.161.2×
facility billing - op714$106.74$106.74$106.741.0×
healthspring mcr replacement714$107.81$108.34$108.871.0×
Cigna1013$91.84$431.97$824.269.0×
hap preferred op rate412$60.59$201.52$647.6710.7×
cofinity - auto op rate412$94.02$278.58$781.338.3×
TRICARE1011$93.77$103.7$175.181.9×
hap - hmo op rate510$52.05$252.43$461.458.9×
hp - hmo op rate49$65.48$309.63$409.816.3×
hp - ppo op rate49$87.22$412.43$568.626.5×
u of m health plan89$52.75$52.75$524.299.9×
mclaren commercial ins88$56.35$56.35$56.351.0×
Multiplan28$112$316.75$873.67.8×
mi amish medical board77$103.71$103.71$103.711.0×
cofinity - ppom op rate37$194.14$772.32$853.974.4×
mclaren health advantage op rate27$50.83$226.62$396.517.8×
hospice care in michigan op rate16$70$229$5467.8×
gift of life op rate16$98$320.6$764.47.8×
bcn op rate26$140$165.5$466.013.3×
hap - ppo op rate36$87.22$579.02$640.237.3×
phpmm-commercial hmo op rate16$59.53$194.74$464.327.8×
cofinity w/c op rate16$89.19$291.8$695.717.8×
beech street op rate16$126$412.2$982.87.8×
hap-hmo op rate16$63.15$206.61$492.67.8×
hcap op rate36$117.75$541.98$599.285.1×
usa mco-ppo op rate16$119$389.3$928.27.8×
mhp - hmo op rate25$44.53$146.1$210.554.7×
health advantage - ppo op rate25$44.53$146.1$210.554.7×
mclaren health op rate45$51.37$201.36$310.536.0×
great lakes research op rate24$541.98$570.63$599.281.1×
harbor health plan14$55.59$61.14$103.71.9×
health advantage - commercial op rate24$316.61$333.35$350.081.1×
cofinity op rate23$121.28$151.81$497.254.1×
hap/ahl op rate13$145.92$167.47$194.571.3×
cofinity - wc/auto op rate13$224.57$257.72$299.441.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MCLAREN LAPEER REGIONLAPEERMI23$866.8$433.4$30.03$98.98$715.9
MCLAREN NORTHERN MICHIGANPETOSKEYMI14$455.8$227.9$30.03$68.27$358.06
MCLAREN THUMB REGIONBAD AXEMI10$493$246.5$30.03$56.72$418.8
MCLAREN BAY SPECIAL CAREBAY CITYMI18$519.4$55.31$528.12$853.97
KARMANOS CANCER HOSPITALDETROITMI15$426.5$66.47$492.12$645.5
ASCENSION ST JOHN HOSPITALDETROITMI3$1,530.5$566.29$61.14$420.03$420.03
MCLAREN OAKLANDPONTIACMI14$223.45$66.47$270.71$429.7
MCLAREN FLINTFLINTMI26$561$280.5$30.03$167.47$577.54
MCLAREN MACOMBMT. CLEMENSMI20$590.55$50.83$146$982.8
TAWAS ST. JOSEPH HOSPITALTAWASMI10$1,737$573.21$98.91$121.94$1,024.83
ASCENSION STANDISH HOSPITALSTANDISHMI13$847$338.8$106.74$109.94$431.97
ASCENSION ALLEGAN HOSPITALALLEGANMI13$847$338.8$106.74$109.94$431.97
BORGESS-PIPP HEALTH CENTERPLAINWELLMI13$847$338.8$106.74$109.94$431.97
ASCENSION BORGESS-LEE HOSPITALDOWAGIACMI13$847$338.8$106.74$109.94$431.97
GENESYS REGIONAL MEDICAL CTR.GRAND BLANCMI13$847$338.8$106.74$109.94$431.97
ASCENSION PROVIDENCE ROCHESTER HOSPIROCHESTERMI13$847$338.8$106.74$109.94$431.97
ASCENSION BORGESS HOSPITALKALAMAZOOMI13$847$338.8$106.74$109.94$431.97
BAY REGIONAL MEDICAL CENTERBAY CITYMI24$1,197.8$598.9$30.03$108.89$978.12
MCLAREN GREATER LANSINGLANSING MI 489100MI19$700.4$350.2$30.03$103.71$490.28
MCLAREN PORT HURONPORT HURONMI28$904.23$452.12$30.03$103.71$615.4
GARDEN CITY HOSPITAL OSTEOPATHICGARDEN CITYMI19$924$103$40$103.7$195.84
MCLAREN CENTRAL MICHIGANMT PLEASANTMI16$806.6$403.3$30.03$103.58$604.95
CARSON CITY HOSPITALCARSON CITYMI0$671$167.75
NORTH OTTAWA COMMUNITY HOSPITALGRAND HAVENMI0$861$602.7
MH - MERCY CAMPUSMUSKEGONMI0$1,027.4$493.15
SOUTHEAST MICHIGAN SURGICAL HOSPITALWARRENMI0$1,121$896.8
MACKINAC STRAITS HEALTH SYSTEM INCST. IGNACEMI0$738$516.6
SPARROW CLINTON HOSPITALST. JOHNSMI0$626$156.5
SPARROW EATONCHARLOTTEMI0$601$150.25

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.