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Pelvic ultrasound complete

CPT 76856 · negotiated-rate distribution across hospitals in PA

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Hospitals
58
Min
$69.44
Median
$334.32
Max
$987.03
Range multiplier
14.2×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield26186$42.60$211.48$1,392.5032.7×
Aetna27184$36.58$490.60$1,178.4032.2×
upmc health plan2597$39.92$103.41$987.0324.7×
UnitedHealthcare2697$39.92$111.52$1,461.8036.6×
Cigna2688$100.54$491.50$1,114.0011.1×
Multiplan1150$268.35$951.60$2,315.708.6×
intergroup1544$324.35$959.20$3,704.0011.4×
pa health & wellness2141$79.25$130.37$2,315.5229.2×
amerihealth caritas2240$72.59$109.49$2,208.3230.4×
First Health1334$349.30$821.06$1,949.505.6×
geisinger1832$64.63$119.99$817.4012.6×
private health care systems1326$282.47$786.40$2,315.708.2×
Humana1324$98.60$610.43$2,367.2524.0×
upmc work partners2121$127.83$240.79$242.921.9×
keystone first413$115.38$161.21$213.441.8×
america's choice512$976.00$976.00$1,098.001.1×
wirerope works512$615.49$678.32$678.321.1×
preferred healthcare system612$399.20$491.50$1,368.253.4×
Medicaid211$33.00$83.24$152.534.6×
health partners plans (jefferson health plan)1111$70.12$115.36$115.361.6×
health partners plans39$52.97$52.97$112.092.1×
three rivers provider network48$259.87$678.94$1,098.004.2×
selectcare48$449.10$1,377.20$2,228.005.0×
pennsylvania health and wellness36$118.15$145.84$170.791.4×
health coalition partners46$449.10$981.52$1,684.003.7×
gateway health plan36$39.81$77.66$137.363.5×
national provider network24$579.04$683.12$787.201.4×
naphcare34$154.67$164.84$183.671.2×
health payors organization24$864.00$1,326.63$1,789.252.1×
innovage44$96.67$112.09$129.971.3×
prime health services33$170.98$174.92$174.921.0×
Anthem BCBS13$669.72$764.00$895.581.3×
clover health33$113.85$116.48$116.481.0×
elder health33$128.89$131.87$131.871.0×
fidelis23$117.01$1,578.75$1,578.7513.5×
health plan of upper ohio valley13$101.38$101.38$1,150.3811.3×
jup pa health_wellness13$39.00$60.45$99.452.6×
Medicare13$96.67$96.67$98.601.0×
occunet33$126.72$181.32$181.321.4×
Oscar Health33$161.12$164.84$164.841.0×
univera13$179.85$395.67$527.562.9×
Medicare Advantage12$101.50$106.34$111.171.1×
independent health12$166.40$194.01$221.611.3×
pa health and wellness inc12$55.80$73.80$91.801.6×
pa health_wellness chc12$60.45$79.95$99.451.6×
ibc12$189.65$235.58$281.511.5×
prime net12$1,610.48$1,610.48$1,610.481.0×
galaxy health plan12$422.40$422.40$422.401.0×
qualcare12$1,559.92$1,559.92$1,559.921.0×
community care behavioral health12$49.90$74.85$99.792.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Upmc ShadysidePittsburghPA20$2,105.00$1,263.00$55.80$987.03$1,789.25
WellsboroWellsboroPA14$1,220.00$885.60$59.52$812.10$1,159.00
Curahealth Heritage ValleyBeaverPA9$296.00$79.92$39.81$80.26$245.90
Upmc Horizon HospitalGreenvillePA17$1,964.00$1,178.40$80.33$750.25$1,669.40
Upmc St MargaretPittsburghPA12$2,785.00$1,671.00$84.15$744.99$2,367.25
Aria HealthPhiladelphiaPA3$579.00$126.11$33.00$69.44$152.53
Muncy Valley HospitalMuncyPA15$1,220.00$732.00$59.52$645.38$2,315.52
Divine Providence HospitalWilliamsportPA15$1,220.00$732.00$59.52$581.94$1,098.00
Williamsport Hospital & Medical CtrWilliamsportPA15$1,220.00$732.00$59.52$581.94$1,098.00
Lock Haven HospitalLock HavenPA15$1,220.00$732.00$59.52$581.94$1,098.00
Upmc East HospitalMonroevillePA13$1,670.00$1,002.00$84.15$567.80$1,336.00
Upmc MckeesportMckeesportPA13$1,338.00$802.80$84.15$508.44$1,137.30
Upmc Mercy HospitalPittsburghPA16$960.00$576.00$84.15$364.80$864.00
Upmc Childrens Hospital Of PghPittsburghPA12$983.00$589.80$46.50$334.32$786.40
Altoona Regional Health SystemAltoonaPA12$983.00$589.80$46.50$334.32$786.40
Upmc Magee-Womens HospitalPittsburghPA12$983.00$589.80$46.50$334.32$786.40
The Childrens Home Of PittsburghPittsburghPA12$983.00$589.80$46.50$334.32$786.40
Upmc Northwest HospitalSenecaPA13$817.00$490.20$84.15$326.80$3,704.00
Upmc Bedford Memorial HospitalEverettPA17$499.00$299.40$36.58$305.62$449.10
Upmc PassavantPittsburghPA14$2,490.00$1,494.00$84.15$282.47$2,315.70
Upmc HamotEriePA16$1,199.00$719.40$80.17$276.00$959.20
Charles Cole Memorial HospitalCoudersportPA14$528.00$316.80$80.33$221.76$480.99
American Oncologic HospialPhiladelphiaPA16$2,516.00$52.97$168.93$1,559.92
Temple University HospitalPhiladelphiaPA20$2,516.00$52.97$164.84$855.44
Jeanes HospitalPhiladelphiaPA18$2,516.00$52.97$154.90$855.44
Upmc JamesonNew CastlePA13$658.00$394.80$53.48$110.13$579.04
Thomas Jefferson Univ. HospitalPhiladelphiaPA29$398.00$123.52$52.97$104.40$485.50
Allied Services Rehab HospitalScrantonPA0$179.00
John Heinz Instit. Of Rehab MedicineWilkes-BarrePA0$179.00
Penn State Hershey Rehabilitation LlHummelstownPA0$532.00$138.37
St Christophers Hospital For ChildrPhiladelphiaPA0$3,305.00$1,652.50
Lifecare Hospitals Of Chester CountyWest ChesterPA0$970.00$970.00
Holy Spirit HospitalCamp HillPA0$532.00$127.09
Chestnut Hill HospitalPhiladelphiaPA0$1,305.00$326.25
Uniontown HospitalUniontownPA0$559.00$279.50
Reading Hospital And Medical CenterReadingPA0$1,305.00$913.50
Clarion HospitalClarionPA0$402.00$225.12
St. Joseph Medical CenterReadingPA0$532.00$138.37
Hospital Of The Univ Of PennaPhiladelphiaPA0$2,543.00$2,543.00
Windber Hospital Inc.WindberPA0$468.00$397.80
Pottstown Memorial Medical CenterPottstownPA0$1,383.00$345.75
Wayne Memorial HospitalHonesdalePA0$1,800.00$1,260.00
Phoenixville HospitalPhoenixvillePA0$1,305.00$326.25
Miners HospitalHastingsPA0$919.00$367.60
Westmoreland Regional HospitalGreensburgPA0$493.00$295.80
Armstrong County MemorialKittanningPA0$388.00$116.40
Butler Memorial HospitalButlerPA0$1,241.00$868.70
The Chester County HospitalWest ChesterPA0$970.00$970.00
Doylestown HospitalDoylestownPA0$1,070.00$1,070.00
Frick HospitalMount PleasantPA0$493.00$295.80
Latrobe Area HospitalLatrobePA0$493.00$295.80
Presbyterian Medical CenterPhiladelphiaPA0$2,575.00$2,575.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$2,543.00$2,543.00
Milton S. Hershey Medical CenterHersheyPA0$532.00$176.25
Physicians Care Surgical HospitalRoyersfordPA0$1,031.00$316.30
Hampden Medical CenterEnolaPA0$532.00$167.42
Meyersdale Community HospitalMeyersdalePA0$506.00$202.40
Miners HospitalHastingsPA0$919.00$367.60

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.