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Obstetric ultrasound after first trimester

CPT 76805 · negotiated-rate distribution across hospitals in SD

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Hospitals
3
Min
$381.23
Median
$557.42
Max
$557.62
Range multiplier
1.5×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE236$111.19$172.32$392.343.5×
UnitedHealthcare318$159.32$466.58$5,91437.1×
Blue Cross Blue Shield313$163.3$312$5,91436.2×
govt employees health assn [3081090]212$375.54$466.58$557.621.5×
Cigna212$546.24$554.78$563.311.0×
medica (commercial) 94265 [3081118]212$472.27$514.95$557.621.2×
healthpartners [3081368]311$113$557.62$557.624.9×
Aetna28$512.1$512.1$540.551.1×
Meritain Health28$546.24$554.78$563.311.0×
national telephone cooperative assn 52103 [3081149]28$375.54$466.58$557.621.5×
risk admin svs [3081167]28$214.92$335.06$455.22.1×
Humana36$138.65$540.55$5,91442.7×
tlc advantage llc [3081189]35$534.86$534.86$557.421.0×
key benefit administrators [3081332]24$546.24$554.78$563.311.0×
coresource 38225 [3081146]24$369.85$449.51$512.11.4×
health partners sx009 [3081102]24$352.78$455.2$557.621.6×
employee benefit management 12x44 [3081079]24$483.65$497.88$512.11.1×
pacificsource health plans [3081333]24$483.65$497.88$512.11.1×
preferred one 41147 [3081160]24$546.24$554.78$563.311.0×
rocky mountain admin llc 83028 [3081168]24$455.2$483.65$512.11.1×
sanford health plan 91184 [3081174]24$512.1$532.02$551.931.1×
surest [3081369]24$375.54$466.58$557.621.5×
avera health plans 46045 [3081018]24$418.22$485.08$551.931.3×
allied benefit systems inc [3081320]24$546.24$554.78$563.311.0×
fedmed inc [3081283]24$540.55$546.24$551.931.0×
group and pension administrators inc [3081098]24$512.1$532.02$551.931.1×
midlands choice 47080 [3081136]24$546.24$554.78$563.311.0×
Multiplan24$512.1$532.02$551.931.1×
va ccn optum [3081339]22$132.05$145.69$159.321.2×
minnesota health care programs 12k16 [3081295]12$172.41$172.41$172.411.0×
va black hills health care system 12115 [3081206]22$132.05$145.69$159.321.2×
Medicare22$159.32$3,036.66$5,91437.1×
healthpartners sx009 [3081102]11$202.48$202.48$202.481.0×
VA Health11$159.32$159.32$159.321.0×
va black hills health care system 12115 [3081207]11$159.32$159.32$159.321.0×
triwest healthcare alliance [3081322]11$159.32$159.32$159.321.0×
Health Net11$159.32$159.32$159.321.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH CUSTER HOSPITALCUSTERSD35$569$569$159.32$557.62$569
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD7$593$593$202.48$557.42$5,914
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD31$569$569$111.19$381.23$546.24

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.