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Obstetric ultrasound with fetal anatomy

CPT 76811 · negotiated-rate distribution across hospitals in NJ

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Hospitals
13
Min
$226.5
Median
$268.44
Max
$284.66
Range multiplier
1.3×

By payer (39 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield1279$57.31$282.66$1,168.7420.4×
UnitedHealthcare1265$12.16$312.92$781.0164.2×
Aetna1246$13.32$246.81$775.8458.2×
Cigna1229$222.29$459.66$830.153.7×
wellpoint1120$57$264.17$526.119.2×
amerihealth1119$165.66$178.09$197.381.2×
fidelis care816$12.51$261.81$284.6622.8×
qualcare inc815$66.7$652.56$96014.4×
Humana1212$246.43$269.37$284.661.2×
clover health1111$264.17$268.44$284.661.1×
WellCare1111$268.44$525.7$566.472.1×
First Health88$60$553.8$553.89.2×
Emblem Health88$462.3$465.26$542.381.2×
Medicare46$241.59$257.43$269.881.1×
Ambetter44$350.31$551.78$553.251.6×
wellpoint full dual advantage33$268.44$269.88$269.881.0×
braven health33$268.44$269.88$269.881.0×
fidelis care of nj33$229.83$229.83$242.951.1×
healthspring33$276.5$277.98$277.981.0×
horizon nj health33$612$612$6121.0×
horizon nj total care33$268.44$269.88$269.881.0×
jefferson health plan33$287.24$288.77$288.771.0×
oxford health plans33$497.77$781.01$781.011.6×
Self-Pay (Cash)33$16.39$16.39$20.741.3×
jeff nj amerihealth_ibc12$393.96$431.46$468.961.2×
pa health_wellness chc12$118.85$179.09$239.342.0×
optum va ccn11$241.59$241.59$241.591.0×
devoted health participation11$253.67$253.67$253.671.0×
point of comfort refugee resettlement11$241.59$241.59$241.591.0×
provider partners health plan11$258.5$258.5$258.51.0×
ibc main line health11$301.99$301.99$301.991.0×
allwell pa health_wellness ma11$265.75$265.75$265.751.0×
st agnes11$241.59$241.59$241.591.0×
ibc employee benefit11$301.99$301.99$301.991.0×
va_champus_tricare11$241.59$241.59$241.591.0×
inspira life11$241.59$241.59$241.591.0×
innovage11$241.59$241.59$241.591.0×
horizon nj health nj11$459$459$4591.0×
naphcare11$386.55$386.55$386.551.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
JERSEY CITY MEDICAL CENTERJERSEY CITYNJ13$923$191.79$118.26$284.66$837.8
INSPIRA MEDICAL CENTER WOODBURY INCWOODBURYNJ19$1,201.55$1,201.55$197.38$273.93$883.14
NEWARK BETH ISRAEL MEDICAL CENTERNEWARKNJ13$923$192.26$57$271.19$861.43
COOPERMAN BARNABAS MEDICAL CENTERLIVINGSTONNJ13$923$195.58$57$271.19$784.55
INSPIRA MEDICAL CENTER ELMERELMERNJ19$1,201.55$1,201.55$197.38$269.88$883.14
INSPIRA MEDICAL CENTER VINELANDVINELANDNJ19$1,201.55$1,201.55$197.38$268.44$883.14
MONMOUTH MEDICAL CENTERLONG BRANCENJ13$923$201.95$57$267.55$892.63
ROBERT WOOD JOHNSON HOSPITAL @ HAMIHAMILTONNJ14$12.16$264.17$1,168.74
ROBERT WOOD JOHNSON UNIVERSITY HOSPINEW BRUNSWICKNJ14$12.16$264.17$1,168.74
ROBERT WOOD JOHNSON UNIV HOSP @ SOMSOMERVILLENJ13$923$155.98$96.76$264.17$960
KENNEDY UNIVERSITY HOSPITALCHERRY HILLNJ22$4,013$308.71$118.85$252.46$806.6
COMMUNITY MEDICAL CENTERTOMS RIVERNJ14$12.41$226.5$525.7
WEST JERSEY HEALTH SYSTEMVOORHEESNJ0$3,933$393.3

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.