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Pelvic ultrasound complete

CPT 76856 · negotiated-rate distribution across hospitals in SD

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Hospitals
4
Min
$803.33
Median
$1,163.03
Max
$1,175.02
Range multiplier
1.5×

By payer (37 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
TRICARE354$111.19$375.89$826.747.4×
UnitedHealthcare427$335.72$1,175.02$5,91417.6×
Blue Cross Blue Shield420$344.11$761.06$5,91417.2×
govt employees health assn [3081090]318$791.34$1,175.02$1,175.021.5×
Cigna318$1,151.04$1,187.01$1,187.011.0×
medica (commercial) 94265 [3081118]318$995.17$1,175.02$1,175.021.2×
healthpartners [3081368]417$113$1,175.02$1,175.0210.4×
Meritain Health312$1,151.04$1,187.01$1,187.011.0×
national telephone cooperative assn 52103 [3081149]312$791.34$1,175.02$1,175.021.5×
risk admin svs [3081167]312$168.2$563.7$959.25.7×
Aetna310$1,079.1$1,079.1$1,139.051.1×
Humana48$107.79$1,199$5,91454.9×
avera health plans 46045 [3081018]47$881.27$1,163.03$1,163.031.3×
tlc advantage llc [3081189]47$1,127.06$1,127.06$1,174.061.0×
health partners sx009 [3081102]36$743.38$1,175.02$1,175.021.6×
key benefit administrators [3081332]36$1,151.04$1,187.01$1,187.011.0×
fedmed inc [3081283]36$1,139.05$1,163.03$1,163.031.0×
midlands choice 47080 [3081136]36$1,151.04$1,187.01$1,187.011.0×
employee benefit management 12x44 [3081079]36$1,019.15$1,079.1$1,079.11.1×
pacificsource health plans [3081333]36$1,019.15$1,079.1$1,079.11.1×
preferred one 41147 [3081160]36$1,151.04$1,187.01$1,187.011.0×
coresource 38225 [3081146]36$779.35$1,079.1$1,079.11.4×
rocky mountain admin llc 83028 [3081168]36$959.2$1,079.1$1,079.11.1×
sanford health plan 91184 [3081174]36$1,079.1$1,163.03$1,163.031.1×
surest [3081369]36$791.34$1,175.02$1,175.021.5×
allied benefit systems inc [3081320]36$1,151.04$1,187.01$1,187.011.0×
Multiplan24$1,079.1$1,121.07$1,163.031.1×
group and pension administrators inc [3081098]24$1,079.1$1,121.07$1,163.031.1×
Medicare33$335.72$335.72$5,91417.6×
va black hills health care system 12115 [3081206]33$102.66$335.72$335.723.3×
va ccn optum [3081339]33$102.66$335.72$335.723.3×
VA Health22$335.72$335.72$335.721.0×
va black hills health care system 12115 [3081207]22$335.72$335.72$335.721.0×
minnesota health care programs 12k16 [3081295]12$363.3$363.3$363.31.0×
Health Net22$335.72$335.72$335.721.0×
triwest healthcare alliance [3081322]22$335.72$335.72$335.721.0×
healthpartners sx009 [3081102]11$155.38$155.38$155.381.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
MONUMENT HEALTH RAPID CITY HOSPITALRAPID CITYSD31$1,199$1,199$102.66$803.33$1,151.04
MONUMENT HEALTH CUSTER HOSPITALCUSTERSD35$1,199$1,199$168.2$1,175.02$1,199
MONUMENT HEALTH STURGIS REGIONALSTURGISSD33$1,199$1,199$168.2$1,163.03$1,199
MONUMENT HEALTH SPEARFISH HOSPITALSPEARFISHSD8$1,249$1,249$155.38$1,046.04$5,914

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.