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Pelvic ultrasound complete

CPT 76856 · negotiated-rate distribution across hospitals in ME

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Hospitals
5
Min
$63.70
Median
$103.15
Max
$626.47
Range multiplier
9.8×

By payer (26 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Anthem BCBS418$29.00$414.13$512.2717.7×
UnitedHealthcare414$29.00$101.86$997.2334.4×
Aetna410$29.00$96.18$810.0827.9×
Humana47$29.00$95.69$111.243.8×
Cigna45$63.40$63.70$878.4013.9×
Medicare33$29.00$31.00$103.153.6×
community health options33$76.27$78.53$78.601.0×
harvard pilgrim33$620.36$620.43$643.531.0×
Medicaid33$30.31$30.31$112.433.7×
sentara health plan13$102.52$108.21$756.407.4×
Multiplan22$87.00$88.50$90.001.0×
WellCare22$29.00$66.08$103.153.6×
First Health11$111.24$111.24$111.241.0×
Self-Pay (Cash)11$103.15$103.15$103.151.0×
workers compensation11$174.45$174.45$174.451.0×
TRICARE11$103.15$103.15$103.151.0×
connecticare11$854.00$854.00$854.001.0×
vhn11$976.00$976.00$976.001.0×
vhn - link11$1,098.00$1,098.00$1,098.001.0×
vhn - plus11$939.40$939.40$939.401.0×
vhn - secondary payors11$1,159.00$1,159.00$1,159.001.0×
gateway - tier 211$976.00$976.00$976.001.0×
gateway - tier 311$671.00$671.00$671.001.0×
gateway - tier 111$1,159.00$1,159.00$1,159.001.0×
vhn - ultra11$756.40$756.40$756.401.0×
martins point11$103.15$103.15$103.151.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Bridgton HospitalBridgtonME10$1,180.63$365.00$30.31$78.53$620.43
Rumford HospitalRumfordME10$1,180.63$342.00$29.00$63.70$620.36
Franklin Memorial HospitalFarmingtonME16$1,220.00$427.00$91.78$626.47$1,159.00
Central Maine Medical CenterLewistonME15$1,180.63$103.00$63.40$103.15$643.53
Redington-Fairview General HospitalSkowheganME0$658.00$493.50

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.