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Obstetric ultrasound with fetal anatomy

CPT 76811 · negotiated-rate distribution across hospitals in TX

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Hospitals
31
Min
$68.97
Median
$262.09
Max
$1,259.07
Range multiplier
18.3×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield22158$79.38$252.34$8,427.00106.2×
UnitedHealthcare2189$43.65$233.00$2,028.7846.5×
Anthem BCBS270$60.71$120.80$244.104.0×
Aetna2569$47.00$283.00$1,716.6636.5×
Medicaid1450$1.00$116.18$1,723.781723.8×
Humana2042$77.82$230.35$2,080.8026.7×
Medicare933$130.11$235.03$276.502.1×
Cigna1630$116.75$380.19$1,872.7216.0×
First Health1014$274.00$1,950.75$1,950.757.1×
mhs care connect212$60.71$68.34$129.052.1×
Multiplan912$319.00$1,060.05$1,388.804.4×
commercial | galaxy | all plans811$889.10$1,717.20$1,785.602.0×
wellpoint59$191.94$233.00$306.411.6×
healthsmart48$2,314.89$2,314.89$2,314.891.0×
assurant health48$1,716.66$1,716.66$1,716.661.0×
web tpa48$1,170.45$1,170.45$1,170.451.0×
health partners open network27$177.44$178.70$382.742.2×
Molina56$184.89$184.89$257.001.4×
wellmed66$223.00$226.97$233.001.0×
Medicare Advantage26$130.11$130.11$130.111.0×
Ambetter66$130.11$487.99$487.993.8×
healthcare highways [2210]26$213.50$420.31$627.122.9×
commercial | phcs | all plans36$1,287.90$1,313.55$1,339.201.0×
commercial | nppn | all plans55$836.80$836.80$836.801.0×
commercial | kelseycare | exchange55$310.88$311.07$311.071.0×
commercial | harris health | ers55$345.42$345.63$345.631.0×
commercial | entrust | all plans55$543.46$543.79$605.641.1×
commercial | community health choice | exchange55$345.42$345.63$345.631.0×
90 degree benefits55$233.00$567.43$567.432.4×
commercial | usa health network | all plans55$889.10$889.10$889.101.0×
commercial | superior health plan | all plans55$345.42$345.63$345.631.0×
commercial | renaissance | all plans55$165.80$165.90$165.901.0×
commercial | healthsmart | ppo44$732.20$732.20$732.201.0×
care improvement44$226.97$226.97$226.971.0×
pdh/texas trust44$453.94$453.94$453.941.0×
caprock44$567.43$567.43$567.431.0×
patoka valley tier 124$119.17$119.17$119.171.0×
patoka valley tier 224$119.17$119.17$119.171.0×
city of san angelo44$361.54$361.54$361.541.0×
kempton group44$453.94$453.94$453.941.0×
insurance management services44$369.96$369.96$369.961.0×
scott & white44$363.15$363.15$363.151.0×
insurance services of lubbock44$369.96$369.96$369.961.0×
amerivantage13$77.82$83.61$161.432.1×
iowa health13$81.71$87.79$169.502.1×
prominence health13$233.00$245.00$245.001.1×
commercial | nxhealth | all plans33$748.41$748.41$748.861.0×
superior23$233.00$257.00$908.603.9×
web tpa [2115]23$213.50$536.31$627.122.9×
CareSource22$130.11$130.11$130.111.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Shannon Medical CenterSan AngeloTX22$2,601.00$1,300.50$184.89$868.94$2,314.89
River Crest HospitalSan AngeloTX22$2,601.00$1,300.50$184.89$868.94$2,314.89
San Angelo Community Medical CenterSan AngeloTX22$2,601.00$1,300.50$184.89$868.94$2,314.89
Big Spring State HospitalBig SpringsTX22$2,601.00$1,300.50$184.89$868.94$2,314.89
Baylor Orthopedic And Spine HospitalArlingtonTX3$47.00$715.95$8,427.00
Acuity Hospital Of South TexasSan AntonioTX1$68.97$68.97$68.97
Rice Medical CenterEagle LakeTX19$908.60$636.02$1.00$654.19$908.60
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$955.00$573.00$258.00$653.00$917.00
Seton Medical Center Harker HeightsHarker HeightsTX12$1,608.00$160.80$289.44$627.12$1,723.78
Ut Health East Texas Specialty HospiTylerTX14$854.00$85.40$213.50$476.53$546.56
Heritage Park Surgical HospitalShermanTX2$765.00$459.00$223.25$411.11$613.60
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$664.00$398.40$223.25$411.11$613.60
Chi St Lukes Health Memorial LufkinLufkinTX10$1,984.00$694.40$114.46$380.19$1,785.60
St Lukes Hospital At The VintageHoustonTX20$1,046.00$366.10$114.46$262.09$889.10
Chi St Lukes Health Baylor Med CtrHoustonTX20$1,046.00$366.10$97.65$259.01$889.10
St. Lukes Sugar Land HospitalSugar LandTX18$1,046.00$366.10$114.46$247.12$889.10
St. Lukes The Woodlands HospitalThe WoodlandsTX19$1,046.00$366.10$114.46$247.04$889.10
St. Lukes Lakeside HospitalThe WoodlandsTX19$1,046.00$366.10$114.46$241.94$889.10
North Texas Medical CenterGainsvilleTX17$456.00$114.00$85.00$233.00$420.00
Crescent Medical Center LancasterLancasterTX12$572.00$372.00$114.00$228.00$31,794
Chi St Lukes Health Mem LivingstonLivingstonTX11$1,984.00$694.40$114.46$212.88$1,785.60
Trinity Regional Hospital SachseSachseTX10$621.39$497.12$77.82$206.02$634.33
Pam Squared At Corpus ChristiCorpus ChrstiTX2$176.09$176.09$176.09
Wilson N Jones Regional Medical CtrShermanTX8$527.00$421.60$77.82$161.43$466.39
Childrens Medical Center Of PlanoPlanoTX5$149.67$149.67$186.65
Ascension Seton BastropBastropTX20$43.65$129.05$400.00
Ascension Seton Shoal CreekAustinTX20$43.65$129.05$400.00
St Lukes Health Memorial San AugustSan AugustineTX9$1,984.00$694.40$114.46$1,259.07$1,785.60
St Joseph Medical CenterHoustonTX0$1,489.37$1,489.37
Longview Regional Medical CenterLongviewTX0$919.18$248.18
Navarro Regional HospitalCorsicanaTX0$3,611.00$1,263.85

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.