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Obstetric ultrasound with fetal anatomy

CPT 76811 · negotiated-rate distribution across hospitals in PA

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Hospitals
37
Min
$207.82
Median
$679.67
Max
$1,955.72
Range multiplier
9.4×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield16106$94.95$358.95$2,026.0221.3×
Aetna1697$83.15$709.96$2,519.8730.3×
Cigna1652$219.15$852.80$2,519.8711.5×
UnitedHealthcare1652$88.97$260.23$2,519.8728.3×
upmc health plan1448$88.97$237.60$740.588.3×
keystone first517$112.45$299.06$513.674.6×
intergroup416$897.65$1,599.00$3,384.903.8×
geisinger1016$127.06$265.88$1,829.3014.4×
Medicaid216$63.27$143.66$367.105.8×
amerihealth caritas1115$142.72$248.89$291.342.0×
pa health & wellness1015$155.80$248.89$313.762.0×
private health care systems815$1,599.00$2,660.80$3,384.902.1×
Humana913$214.94$2,110.40$3,384.9015.7×
Medicare212$79.75$209.27$225.022.8×
preferred healthcare system510$1,663.00$1,663.00$3,008.801.8×
upmc work partners1010$252.68$440.12$516.772.0×
health partners plans39$83.67$83.67$255.813.1×
Multiplan38$966.70$1,511.80$2,110.402.2×
First Health48$938.08$1,820.79$2,632.702.8×
jup geisinger commercial17$143.54$180.68$314.312.2×
health partners plans (jefferson health plan)77$137.86$137.86$277.642.0×
pennsylvania health and wellness36$269.64$343.45$411.031.5×
naphcare45$337.16$376.19$419.161.2×
innovage55$210.73$255.81$296.611.4×
gateway health plan35$88.72$221.80$313.493.5×
Medicare Advantage24$231.64$237.07$253.701.1×
pa health_wellness chc24$118.85$179.09$239.342.0×
selectcare24$2,172.00$2,778.45$3,384.901.6×
jup health partners chip14$63.27$87.32$184.112.9×
national provider network24$1,748.24$2,034.84$2,321.441.3×
abington pro ibc13$91.55$114.00$232.912.5×
Anthem BCBS13$899.56$1,026.18$1,202.931.3×
clover health33$259.84$265.84$265.841.0×
elder health33$294.16$300.95$300.951.0×
geisinger health plan23$858.71$860.44$898.991.0×
health coalition partners23$1,846.60$3,384.90$3,384.901.8×
ibc23$259.68$293.54$385.461.5×
jup pa health_wellness13$118.85$120.50$239.342.0×
Oscar Health33$367.69$376.19$376.191.0×
prime health services33$390.20$399.21$399.211.0×
univera13$207.15$455.73$607.642.9×
st agnes22$210.73$215.67$220.611.0×
va_champus_tricare22$210.73$215.67$220.611.0×
wtc health program22$313.49$320.16$326.831.0×
ibc employee benefit22$263.41$269.59$275.761.0×
Ambetter22$305.55$312.72$319.891.0×
allwell pa health_wellness ma22$231.80$237.24$242.671.0×
keystone first vip choice22$225.02$225.25$225.481.0×
jefferson health plan aca qhp exchange22$200.19$204.88$209.581.0×
inspira life22$210.73$215.67$220.611.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc Mercy HospitalPittsburghPA16$2,132.00$1,279.20$187.52$810.16$1,918.80
Upmc St MargaretPittsburghPA12$2,715.00$1,629.00$189.08$779.21$2,307.75
Altoona Regional Health SystemAltoonaPA12$3,326.00$1,995.60$91.42$679.67$2,660.80
Upmc Magee-Womens HospitalPittsburghPA12$3,326.00$1,995.60$91.42$679.67$2,660.80
Upmc Childrens Hospital Of PghPittsburghPA12$3,326.00$1,995.60$91.42$679.67$2,660.80
The Childrens Home Of PittsburghPittsburghPA12$3,326.00$1,995.60$91.42$679.67$2,660.80
Upmc JamesonNew CastlePA12$2,638.00$1,582.80$105.13$436.06$2,321.44
Upmc HamotEriePA16$1,381.00$828.60$202.52$393.59$1,626.97
Temple University HospitalPhiladelphiaPA20$4,175.00$83.67$376.19$1,419.50
American Oncologic HospialPhiladelphiaPA16$4,175.00$83.67$367.69$2,588.50
Jeanes HospitalPhiladelphiaPA18$4,175.00$83.67$353.51$1,419.50
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$351.00$281.90$83.67$239.34$898.99
Curahealth Heritage ValleyBeaverPA9$601.00$162.27$88.72$220.93$499.91
Aria HealthPhiladelphiaPA33$825.00$269.26$63.27$207.82$860.44
Upmc Bedford Memorial HospitalEverettPA17$3,761.00$2,256.60$83.15$1,955.72$3,384.90
Upmc Horizon HospitalGreenvillePA17$2,638.00$1,582.80$189.31$1,016.95$2,242.30
Physicians Care Surgical HospitalRoyersfordPA0$1,684.00$168.46
Hampden Medical CenterEnolaPA0$1,209.00$380.47
Miners HospitalHastingsPA0$1,189.00$475.60
Lifecare Hospitals Of Chester CountyWest ChesterPA0$1,277.00$1,277.00
Penn State Hershey Rehabilitation LlHummelstownPA0$1,209.00$314.46
Phoenixville HospitalPhoenixvillePA0$1,868.00$467.00
Chestnut Hill HospitalPhiladelphiaPA0$1,868.00$467.00
Reading Hospital And Medical CenterReadingPA0$1,868.00$1,307.60
Clarion HospitalClarionPA0$1,645.00$921.20
St. Joseph Medical CenterReadingPA0$1,209.00$314.46
Hospital Of The Univ Of PennaPhiladelphiaPA0$3,029.00$3,029.00
Pottstown Memorial Medical CenterPottstownPA0$1,258.00$314.50
Wayne Memorial HospitalHonesdalePA0$1,800.00$1,260.00
Holy Spirit HospitalCamp HillPA0$1,209.00$288.83
Miners HospitalHastingsPA0$1,189.00$475.60
Butler Memorial HospitalButlerPA0$1,645.00$1,151.50
The Chester County HospitalWest ChesterPA0$1,277.00$1,277.00
Doylestown HospitalDoylestownPA0$1,341.00$1,341.00
Presbyterian Medical CenterPhiladelphiaPA0$1,685.00$1,685.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$3,029.00$3,029.00
Milton S. Hershey Medical CenterHersheyPA0$1,209.00$400.54

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.