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Obstetric ultrasound with fetal anatomy

CPT 76811 · negotiated-rate distribution across hospitals in MA

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Hospitals
6
Min
$257.57
Median
$309.76
Max
$812.39
Range multiplier
3.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare529$94.07$309.76$1,252.0013.3×
Blue Cross Blue Shield529$175.41$425.02$2,429.0013.8×
institution [10406]319$285.95$2,429.00$2,429.008.5×
Aetna512$229.64$554.63$3,799.2516.5×
Cigna511$125.15$459.66$1,287.7110.3×
correctional care [11003]38$285.95$287.72$1,287.714.5×
Medicaid38$285.95$722.41$1,263.084.4×
tufts [11201]35$616.85$748.31$823.201.3×
First Health44$553.80$1,374.75$1,821.753.3×
workers compensation [20501]33$151.89$151.89$151.891.0×
CHAMPVA33$258.35$307.44$307.441.2×
commonwealth care mcr [10115]33$300.25$300.25$300.251.0×
connecticare [11105]33$1,237.00$2,429.00$2,429.002.0×
fallon connectorcare [10503]33$858.88$1,151.35$1,151.351.3×
fallon mcaid carelon hlth [29]33$1,237.00$2,429.00$2,429.002.0×
geisinger13$220.93$254.94$3,440.2015.6×
grants [20507]33$1,237.00$2,429.00$2,429.002.0×
hne [11108]33$690.12$1,095.48$1,095.481.6×
hsno/free care [10801]33$294.30$672.16$672.162.3×
Medicare33$285.95$285.95$285.951.0×
mgb mcr [10124]33$300.25$300.25$300.251.0×
Multiplan33$927.75$1,821.75$1,821.752.0×
pennsylvania health and wellness13$230.14$257.39$453.492.0×
senior whole health [10110]33$305.97$305.97$309.761.0×
tufts connectorcare [10507]33$486.40$486.40$486.401.0×
tufts dual [10111]33$285.95$285.95$285.951.0×
tufts us family [11203]33$285.95$285.95$289.491.0×
upmc health plan13$257.39$257.75$368.221.4×
wellpoint13$57.00$271.19$526.119.2×
wellpoint [11112]33$295.52$295.52$295.521.0×
evernorth behavioral health [27]22$1,943.20$1,943.20$1,943.201.0×
devon health12$4,091.50$4,091.50$4,091.501.0×
tufts mcr supp [20209]22$300.25$300.25$300.251.0×
wellsense cc carelon hlth [20]22$2,429.00$2,429.00$2,429.001.0×
fallon mcr [10105]22$300.25$300.25$300.251.0×
automobile [10401]22$2,429.00$2,429.00$2,429.001.0×
fidelis care12$239.61$255.40$271.191.1×
Humana22$252.48$261.84$271.191.1×
keystone first12$250.03$770.68$1,291.335.2×
optum transplant [20601]22$2,429.00$2,429.00$2,429.001.0×
amerihealth12$178.09$178.09$178.091.0×
masshealth mcd mbhp [38]22$2,429.00$2,429.00$2,429.001.0×
harvard pilgrim mcr supp [20203]22$300.25$300.25$300.251.0×
health partners plans12$230.14$243.77$257.391.1×
wellfleet [11106]22$2,186.10$2,186.10$2,186.101.0×
qualcare inc12$679.00$717.47$755.931.1×
eternalhealth mcr replace [10116]22$300.25$300.25$300.251.0×
hp optum bh [32]11$1,237.00$1,237.00$1,237.001.0×
innovage11$250.03$250.03$250.031.0×
elder health11$294.16$294.16$294.161.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Marlborough HospitalMarlboroughMA36$2,429.00$2,429.00$151.89$812.39$2,429.00
Umass Memorial Medical CenterWorcesterMA36$2,429.00$2,429.00$151.89$812.39$2,429.00
Healthalliance-ClintonLeominsterMA31$1,237.00$1,237.00$151.89$309.76$1,237.00
Beth Israel Deaconess - PlymouthPlymouthMA13$923.00$192.26$57.00$271.19$861.43
Chestnut Hill Benevolent AssociationChestnut HillMA19$4,175.00$124.33$257.57$4,091.50
North Shore Medical CenterSalemMA0$1,982.71$1,982.71

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.