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Obstetric ultrasound after first trimester

CPT 76805 · negotiated-rate distribution across hospitals in WI

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Hospitals
34
Min
$121.47
Median
$367.29
Max
$1,386.89
Range multiplier
11.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare28112$44.21$586.00$1,111.4425.1×
Anthem BCBS18100$44.21$408.00$1,681.3438.0×
Cigna2251$87.36$1,116.72$1,240.2414.2×
healthpartners1248$372.00$734.00$990.002.7×
Aetna1339$301.00$1,090.32$17,93459.6×
common ground1236$368.00$368.00$368.001.0×
Humana636$46.42$235.15$1,491.6432.1×
wisconsin physician service1236$499.00$525.00$525.001.1×
Medicare1430$101.46$103.39$370.763.7×
trilogy2125$519.00$526.00$1,508.402.9×
Molina1824$101.14$392.00$1,424.6014.1×
health eos plus1224$792.00$792.00$792.001.0×
health eos1224$1,056.00$1,056.00$1,056.001.0×
VA Health1122$102.23$103.26$108.061.1×
wps721$172.12$304.08$476.202.8×
Blue Cross Blue Shield417$78.00$241.61$1,021.7213.1×
aspirus217$44.21$212.45$1,061.9024.0×
health payment systems1516$525.00$525.00$1,166.502.2×
centivo1415$383.00$383.00$857.612.2×
network health plan615$78.56$223.94$1,399.4617.8×
smart health714$144.56$144.56$151.281.0×
hs technology1212$366.00$366.00$366.001.0×
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×
everpointe elite1212$406.00$406.00$406.001.0×
First Health611$420.66$1,065.68$1,608.963.8×
alliance39$167.13$295.27$462.402.8×
prevea 36019$44.21$265.20$1,504.3634.0×
security health plan39$93.60$548.65$968.8010.4×
Multiplan38$968.80$1,301.61$1,592.201.6×
centivo nw328$121.47$230.19$336.662.8×
centivo nw128$121.47$230.19$336.662.8×
Medicaid26$109.21$257.73$293.932.7×
health partners36$101.14$912.59$1,592.2015.7×
cchp26$114.96$238.55$353.523.1×
mercy care15$109.20$321.65$587.585.4×
group health cooperative of eau claire25$879.60$1,374.32$1,592.201.8×
wps health plan24$835.62$915.36$989.551.2×
health partners open network14$92.77$223.39$645.997.0×
illinicare14$44.21$91.56$124.602.8×
medica [900156]34$418.10$666.05$884.072.1×
medical associates health plan14$146.34$339.26$637.144.4×
meridiancare14$46.42$93.57$130.832.8×
security health plan (shp)14$871.18$919.62$968.061.1×
smarthealth24$143.12$143.12$143.121.0×
WellCare24$107.34$107.34$107.341.0×
cchp marketplace33$245.18$245.18$245.181.0×
quartz health insurance13$934.58$934.58$934.581.0×
healthpartners [900713]33$196.31$263.91$303.281.5×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens WisconsinMilwaukeeWI29$1,099.50$604.73$769.65$930.18$1,044.53
Holy Family Memorial IncManitowocWI25$1,211.00$666.05$101.14$704.80$1,065.68
West Allis Memorial HospitalWest AllisWI18$1,320.00$660.00$300.00$553.50$17,934
Aurora Medical Center - HartfordHartfordWI18$1,320.00$660.00$300.00$526.00$1,122.00
Memorial Hospital Of BurlingtonBurlingtonWI18$1,320.00$660.00$300.00$526.00$1,122.00
Aurora Health Care Metro Inc.MilwaukeeWI18$1,320.00$660.00$300.00$526.00$1,122.00
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$1,320.00$660.00$300.00$526.00$1,122.00
Sheboygan Memorial HospitalSheboyganWI18$1,320.00$660.00$300.00$526.00$1,122.00
Aurora Lakeland Medical CenterElkhornWI18$1,320.00$660.00$300.00$526.00$1,122.00
Aurora Medical Center KenoshaKenoshaWI18$1,320.00$660.00$300.00$526.00$1,122.00
Aurora Medical Center Of OshkoshOshkoshWI18$1,320.00$660.00$300.00$526.00$1,122.00
Aurora Medical Center - SummitSummitWI18$1,320.00$660.00$300.00$526.00$1,122.00
Aurora Medical Center GraftonGraftonWI18$1,320.00$660.00$300.00$526.00$1,122.00
Aurora Medical Center - Bay AreaMarinetteWI18$1,320.00$660.00$300.00$525.00$1,116.72
Amery Regional Medical CenterAmeryWI6$990.00$516.19$295.61$367.29$959.90
Westfields HospitalNew RichmondWI8$740.00$389.24$101.46$310.80$740.00
Hudson HospitalHudsonWI8$726.00$327.50$154.06$248.44$964.00
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$840.00$445.20$78.56$235.15$462.40
Ascension Columbia St Marys MilwaukeMilwaukeeWI8$1,173.00$621.69$78.56$227.74$462.40
Ascension Columbia St Marys OzaukeeMequonWI8$1,173.00$621.69$78.56$227.74$462.40
Meriter Hospital Inc.MadisonWI14$1,769.83$1,415.87$44.21$173.49$1,681.34
All Saints - St. Luke S HospitalRacineWI7$693.00$367.29$108.06$161.70$540.54
Wheaton Franciscan Healthcare - AllRacineWI7$693.00$367.29$108.06$161.70$540.54
MoshFranklinWI6$103.26$158.34$519.00
Ascension Se Wisconsin Hospital IncMilwaukeeWI7$693.00$367.29$103.26$158.34$540.54
Wfhc - Elmbrook MemorialBrookfieldWI7$693.00$367.29$103.26$158.34$540.54
Wheaton Franciscan - FranklinFranklinWI7$693.00$367.29$103.26$158.34$540.54
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI7$693.00$367.29$103.26$158.34$540.54
Beaver Dam Community HospitalsBeaver DamWI17$1,676.00$1,592.20$416.30$1,386.89$1,608.96
Mercy Medical CenterOshkoshWI9$317.00$180.69$50.60$121.47$353.52
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$317.00$180.69$50.60$121.47$353.52
Uw Health Rehabilitation HospitalMadisonWI0$1,268.00$760.80
River Falls Area HospitalRiver FallsWI0$1,178.00$659.68
University Of Wi Hospitals & ClinicsMadisonWI0$1,268.00$760.80

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.