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Obstetric ultrasound with fetal anatomy

CPT 76811 · negotiated-rate distribution across hospitals in MI

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Hospitals
26
Min
$108.95
Median
$249.91
Max
$441.64
Range multiplier
4.1×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare1990$56.87$245.06$966.6017.0×
Medicare1270$88.59$234.55$377.194.3×
Medicaid1164$56.87$132.22$757.4013.3×
Aetna2057$87.32$249.91$884.2610.1×
Blue Cross Blue Shield1336$142.20$281.71$771.045.4×
Humana1735$88.59$249.91$277.173.1×
First Health818$116.04$336.18$787.606.8×
Medicare Advantage916$227.02$242.63$242.631.1×
smarthealth816$339.68$339.68$352.761.0×
Ambetter816$400.34$400.34$408.191.0×
priority health op rate815$150.38$230.56$842.735.6×
WellCare714$242.63$242.63$242.631.0×
occunet714$448.87$497.40$545.921.2×
Oscar Health714$388.21$388.21$388.211.0×
healthspring mcr replacement714$245.06$246.27$247.481.0×
blue mcr replacement714$242.63$242.63$242.631.0×
facility billing - op714$242.63$242.63$242.631.0×
Cigna911$98.53$1,656.48$1,656.4816.8×
hp - hmo op rate49$154.07$170.36$327.582.1×
hap - hmo op rate49$161.68$182.72$260.391.6×
hp - ppo op rate49$213.77$236.37$436.342.0×
u of m health plan89$101.88$101.88$189.001.9×
priority health99$126.86$130.22$130.221.0×
mclaren commercial ins89$108.95$108.95$146.481.3×
TRICARE89$120.81$236.67$251.972.1×
cofinity - ppom op rate38$215.11$329.60$355.001.7×
hcap op rate37$225.30$237.30$509.402.3×
hap - ppo op rate37$240.70$253.52$436.341.8×
great lakes research op rate26$225.30$237.30$249.121.1×
health advantage - commercial op rate26$131.61$138.62$145.531.1×
hap preferred op rate35$179.99$303.11$849.324.7×
cofinity - auto op rate35$248.83$446.47$1,024.604.1×
mi amish medical board55$235.74$235.74$235.741.0×
harbor health plan14$126.86$139.55$236.671.9×
mclaren health op rate34$124.85$178.44$223.981.8×
health advantage - ppo op rate23$141.05$193.10$222.751.6×
cofinity op rate23$212.33$228.98$256.591.2×
hap op rate23$244.97$264.18$406.611.7×
mhp - hmo op rate23$141.05$193.10$222.751.6×
com mclaren commercial ins op rate13$153.09$153.76$155.121.0×
total health care priority health13$126.86$232.95$236.671.9×
com priority health op rate13$229.99$231.01$233.051.0×
com php op rate13$156.11$156.80$158.191.0×
com cofinity auto op rate13$278.71$279.95$282.421.0×
Multiplan23$499.20$545.53$1,145.602.3×
hospice care in michigan op rate12$312.00$514.00$716.002.3×
beech street op rate12$561.60$925.20$1,288.802.3×
hurley medical center op rate12$122.92$145.60$168.281.4×
mi amish medical board op rate22$264.44$264.44$264.441.0×
mclaren health advantage op rate12$226.57$373.27$519.962.3×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Mclaren MacombMt. ClemensMI20$774.45$136.21$441.64$1,288.80
Ascension St John HospitalDetroitMI3$1,297.00$479.89$87.32$420.03$420.03
Tawas St. Joseph HospitalTawasMI10$1,163.00$383.79$98.53$277.17$821.11
Borgess-Pipp Health CenterPlainwellMI13$3,248.00$1,299.20$242.63$249.91$1,656.48
Ascension Borgess-Lee HospitalDowagiacMI13$3,248.00$1,299.20$242.63$249.91$1,656.48
Ascension Borgess HospitalKalamazooMI13$3,248.00$1,299.20$242.63$249.91$1,656.48
Ascension Allegan HospitalAlleganMI13$3,248.00$1,299.20$242.63$249.91$1,656.48
Genesys Regional Medical Ctr.Grand BlancMI13$3,248.00$1,299.20$242.63$249.91$1,656.48
Ascension Providence Rochester HospiRochesterMI13$3,248.00$1,299.20$242.63$249.91$1,656.48
Ascension Standish HospitalStandishMI13$3,248.00$1,299.20$242.63$249.91$1,656.48
Mclaren Bay Special CareBay CityMI18$215.90$116.81$236.84$355.00
Garden City Hospital OsteopathicGarden CityMI19$1,150.65$236.00$126.86$236.67$366.84
Mclaren Port HuronPort HuronMI28$822.50$411.25$56.87$232.34$679.20
Bay Regional Medical CenterBay CityMI24$497.90$248.95$56.87$225.30$377.19
Mclaren Greater LansingLansingMI19$463.70$231.85$56.87$223.59$430.48
Mclaren Lapeer RegionLapeerMI21$202.80$393.90$56.87$222.75$757.40
Mclaren FlintFlintMI25$727.60$363.80$56.87$215.11$586.39
Mclaren Central MichiganMt PleasantMI16$344.30$172.15$56.87$156.28$377.19
Mclaren Northern MichiganPetoskeyMI12$202.80$307.65$56.87$109.92$532.44
Mclaren Thumb RegionBad AxeMI10$340.00$170.00$56.87$108.95$183.74
Carson City HospitalCarson CityMI0$1,013.00$253.25
North Ottawa Community HospitalGrand HavenMI0$904.00$632.80
Mh - Mercy CampusMuskegonMI0$1,586.80$761.66
Mckenzie Health SystemSanduskyMI0$1,147.00$917.60
Sparrow Clinton HospitalSt. JohnsMI0$781.00$195.25
Sparrow EatonCharlotteMI0$583.00$177.00

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.