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Pelvic ultrasound complete

CPT 76856 · negotiated-rate distribution across hospitals in MI

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Hospitals
30
Min
$39.42
Median
$109.94
Max
$794.33
Range multiplier
20.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare21112$20.66$107.81$1,111.6753.8×
Medicare1382$31.82$103.71$165.945.2×
Medicaid1380$20.66$58.17$967.3046.8×
Aetna2272$39.07$160.46$1,215.4031.1×
Blue Cross Blue Shield1550$51.66$250.06$967.3018.7×
Humana1939$31.82$105.87$121.943.8×
priority health op rate1026$67.68$332.41$799.7211.8×
First Health825$43.20$279.31$1,049.2824.3×
priority health917$40.00$46.82$908.5522.7×
Ambetter816$176.12$176.12$179.581.0×
mclaren commercial ins816$31.00$90.11$501.6816.2×
smarthealth816$149.44$149.44$155.191.0×
Medicare Advantage916$103.70$106.74$107.501.0×
WellCare714$106.74$106.74$106.741.0×
facility billing - op714$106.74$106.74$106.741.0×
blue mcr replacement714$106.74$106.74$106.741.0×
Oscar Health714$170.78$170.78$170.781.0×
occunet714$197.47$218.82$240.161.2×
Cigna1014$81.27$1,248.21$1,707.4821.0×
hap preferred op rate414$60.59$230.42$850.0814.0×
healthspring mcr replacement714$107.81$108.34$108.871.0×
cofinity - auto op rate413$94.02$229.68$600.696.4×
hap - hmo op rate513$52.05$362.04$509.869.8×
hp - ppo op rate412$87.22$561.27$628.287.2×
hp - hmo op rate412$65.48$412.03$452.816.9×
TRICARE1011$93.77$103.70$212.132.3×
u of m health plan810$36.59$36.59$647.3117.7×
hap - ppo op rate39$87.22$633.82$707.418.1×
cofinity - ppom op rate39$161.01$845.42$943.585.9×
hcap op rate38$117.75$624.63$662.165.6×
Multiplan28$112.00$201.20$564.975.0×
mclaren health advantage op rate27$50.83$116.56$218.344.3×
mclaren health op rate47$51.37$230.15$497.829.7×
mi amish medical board77$103.71$103.71$103.711.0×
bcn op rate27$140.00$182.00$388.962.8×
hap-hmo op rate16$63.15$113.45$213.823.4×
beech street op rate16$126.00$226.35$426.603.4×
cofinity w/c op rate16$89.19$160.23$301.993.4×
gift of life op rate16$98.00$176.05$331.803.4×
great lakes research op rate26$593.28$655.98$662.161.1×
health advantage - commercial op rate26$346.57$383.20$386.811.1×
health advantage - ppo op rate26$44.53$193.64$315.847.1×
hospice care in michigan op rate16$70.00$125.75$237.003.4×
mhp - hmo op rate26$44.53$193.64$315.847.1×
phpmm-commercial hmo op rate16$59.53$106.94$201.543.4×
usa mco-ppo op rate16$119.00$213.78$402.903.4×
harbor health plan14$55.59$61.14$103.701.9×
hap hmo op rate24$78.88$551.50$782.899.9×
hap ahl op rate24$79.76$585.64$850.0810.7×
health plus hmo op rate24$87.14$645.29$940.1510.8×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Karmanos Cancer HospitalDetroitMI15$683.80$66.47$794.33$1,034.83
Mclaren Bay Special CareBay CityMI18$573.85$55.31$609.97$943.58
Mclaren Thumb RegionBad AxeMI10$597.00$298.50$20.66$39.42$312.29
Bay Regional Medical CenterBay CityMI24$1,311.00$655.50$20.66$354.86$1,070.56
Mclaren OaklandPontiacMI14$215.30$66.47$260.82$414.00
Ascension St John HospitalDetroitMI3$1,311.75$485.35$43.20$256.62$256.62
Mclaren FlintFlintMI27$671.80$511.15$20.66$160.52$835.55
Mclaren Lapeer RegionLapeerMI25$1,076.60$538.30$20.66$151.40$967.30
Mclaren MacombMt. ClemensMI20$256.35$50.83$145.20$426.60
Tawas St. Joseph HospitalTawasMI10$2,060.00$679.80$81.27$121.94$1,215.40
Ascension Borgess-Lee HospitalDowagiacMI13$3,348.00$1,339.20$106.74$109.94$1,707.48
Ascension Borgess HospitalKalamazooMI13$3,348.00$1,339.20$106.74$109.94$1,707.48
Genesys Regional Medical Ctr.Grand BlancMI13$3,348.00$1,339.20$106.74$109.94$1,707.48
Ascension Standish HospitalStandishMI13$3,348.00$1,339.20$106.74$109.94$1,707.48
Borgess-Pipp Health CenterPlainwellMI13$3,348.00$1,339.20$106.74$109.94$1,707.48
Ascension Allegan HospitalAlleganMI13$3,348.00$1,339.20$106.74$109.94$1,707.48
Ascension Providence Rochester HospiRochesterMI13$3,348.00$1,339.20$106.74$109.94$1,707.48
Mclaren Port HuronPort HuronMI28$851.90$425.95$20.66$105.79$703.40
Mclaren Greater LansingLansingMI19$1,588.10$794.05$20.66$103.71$1,111.67
Mclaren Northern MichiganPetoskeyMI14$498.70$249.35$20.66$103.71$374.03
Garden City Hospital OsteopathicGarden CityMI20$1,025.00$103.00$30.00$103.70$162.82
Mclaren Central MichiganMt PleasantMI16$805.10$402.55$20.66$103.58$603.83
Mackinac Straits Health System IncSt. IgnaceMI0$612.00$428.40
Mckenzie Health SystemSanduskyMI0$681.00$544.80
North Ottawa Community HospitalGrand HavenMI0$797.00$557.90
Sparrow Clinton HospitalSt. JohnsMI0$969.00$242.25
Sparrow EatonCharlotteMI0$537.00$134.25
Carson City HospitalCarson CityMI0$1,005.00$251.25
Mh - Mercy CampusMuskegonMI0$790.50$379.44
Southeast Michigan Surgical HospitalWarrenMI0$1,225.00$980.00

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.