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Pelvic ultrasound complete

CPT 76856 · negotiated-rate distribution across hospitals in TX

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Hospitals
63
Min
$66.53
Median
$309.05
Max
$2,313.50
Range multiplier
34.8×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield43232$30.75$291.29$8,427.00274.0×
UnitedHealthcare39134$22.35$133.81$2,402.74107.5×
Aetna42106$30.15$497.28$1,489.0449.4×
Medicaid2471$1.00$96.28$1,288.951289.0×
Anthem BCBS371$24.47$71.81$990.0040.5×
Humana2959$30.15$109.04$1,268.8042.1×
Cigna3052$63.46$350.08$2,399.4337.8×
Medicare1241$66.53$111.29$130.932.0×
Multiplan2229$523.00$1,253.75$2,809.255.4×
First Health1318$448.00$1,179.00$2,478.755.5×
healthsmart714$113.00$1,399.08$1,399.0812.4×
healthcare highways [2210]412$397.02$448.25$1,288.953.2×
mhs care connect212$24.47$60.95$85.423.5×
Ambetter1111$66.53$158.11$214.683.2×
wellpoint711$104.95$134.80$601.005.7×
health partners open network29$62.69$168.38$598.719.6×
commercial | galaxy | all plans99$1,427.40$1,656.65$1,656.651.2×
Molina78$96.28$101.09$148.951.5×
prime health services58$134.15$961.14$1,494.5011.1×
commercial | entrust | all plans88$216.74$257.42$286.781.3×
web tpa48$707.40$707.40$707.401.0×
wellmed88$99.85$99.93$443.444.4×
assurant health48$1,037.52$1,037.52$1,037.521.0×
superior health plan47$101.09$216.00$901.008.9×
Medicare Advantage37$66.53$66.53$180.262.7×
web tpa [2115]47$397.02$814.40$2,313.505.8×
commercial | community health choice | exchange77$117.83$163.56$163.661.4×
commercial | phcs | all plans57$1,070.55$1,241.85$1,253.751.2×
velocity provider ppo network46$123.83$848.06$1,318.6810.6×
scott & white56$159.76$159.76$1,034.476.5×
healthscope benefits [2290]45$183.24$453.50$1,288.957.0×
commercial | nxhealth | all plans55$352.20$354.38$354.611.0×
provider network of america45$848.06$848.06$1,318.681.6×
commercial | superior health plan | all plans55$163.56$163.66$163.661.0×
commercial | usa health network | all plans55$1,656.65$1,656.65$1,656.651.0×
commercial | renaissance | all plans55$78.51$78.56$78.561.0×
commercial | kelseycare | exchange55$147.20$147.30$147.301.0×
commercial | nppn | all plans55$1,559.20$1,559.20$1,559.201.0×
quik trip45$848.06$848.06$1,318.681.6×
commercial | harris health | ers55$163.56$163.66$163.661.0×
90 degree benefits55$105.00$249.63$249.632.4×
pdh/texas trust44$199.70$199.70$199.701.0×
patoka valley tier 124$71.81$71.81$71.811.0×
patoka valley tier 224$71.81$71.81$71.811.0×
txp optum health (transplant)14$772.21$903.34$1,092.751.4×
amerivantage14$30.15$78.87$490.3416.3×
commercial | healthsmart | ppo44$1,364.30$1,364.30$1,364.301.0×
kempton group44$199.70$199.70$199.701.0×
commercial | firstcare | all plans24$876.60$880.80$885.001.0×
insurance management services44$162.76$162.76$162.761.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Burleson St. Joseph Health CenterCaldwellTX7$1,475.00$516.25$96.28$876.60$1,327.50
Warm Springs Rehab Hosp KyleKyleTX8$1,130.75$1,130.75$791.53$876.33$1,017.68
Glen Rose Medical CenterGlen RoseTX8$1,238.00$1,238.00$569.00$867.00$1,176.00
Rice Medical CenterEagle LakeTX19$1,181.40$826.98$1.00$850.61$1,181.40
Corpus Christi Specialty HospitalCorpus ChristiTX8$1,130.75$1,130.75$791.53$848.06$1,017.68
Dimmit Regional Hospital DistrictCarrizo SpringsTX3$890.00$534.00$338.00$814.00$854.00
Mccamey County Hospital DistrictMccameyTX14$910.00$910.00$546.00$801.00$910.00
Madison St. Joseph Health CenterMadisonvilleTX7$1,475.00$516.25$96.28$763.30$1,327.50
Baylor Orthopedic And Spine HospitalArlingtonTX3$1,288.00$772.80$397.64$669.76$8,427.00
Ascension Seton BastropBastropTX20$572.00$343.20$22.35$66.53$400.00
Ascension Seton Shoal CreekAustinTX20$572.00$343.20$22.35$66.53$400.00
Crane County Hospital DistrictCraneTX2$919.00$643.00$392.00$583.00$827.00
Driscoll Childrens HospitalCorpus ChristiTX2$2,978.08$595.62$165.82$582.91$1,000.00
Heritage Park Surgical HospitalShermanTX2$543.00$325.80$100.16$544.08$812.06
Baylor Scott And White Mc At SunnyvaSunnyvaleTX1$879.00$527.40$100.16$544.08$812.06
River Crest HospitalSan AngeloTX22$1,572.00$786.00$99.85$533.59$1,399.08
Shannon Medical CenterSan AngeloTX22$1,572.00$786.00$99.85$533.59$1,399.08
Big Spring State HospitalBig SpringsTX22$1,572.00$786.00$99.85$533.59$1,399.08
San Angelo Community Medical CenterSan AngeloTX22$1,572.00$786.00$99.85$533.59$1,399.08
Ut Health East Texas Specialty HospiTylerTX10$1,814.00$181.40$453.50$453.50$1,139.19
Golden Plains Community HospitalBorgerTX6$1,928.00$1,349.60$94.15$443.44$1,311.04
Lifecare Spec Hosp Of North TexasDallasTX7$1,772.00$177.20$443.00$443.00$443.00
Seton Medical Center Harker HeightsHarker HeightsTX14$1,018.00$101.80$183.24$397.02$1,091.30
Crosbyton Clinic HospitalCrosbytonTX4$458.00$458.00$87.00$316.50$366.00
St Lukes Health Memorial San AugustSan AugustineTX9$1,586.00$555.10$96.28$309.05$1,427.40
Hansford County Hospital DistrictSpearmanTX5$333.00$250.00$233.00$300.00$350.00
Muleshoe Area Medical CenterMuleshoeTX4$366.00$220.00$143.00$293.00$366.00
Grimes St. Joseph Health CenterNavasotaTX4$1,475.00$516.25$96.28$268.98$1,253.75
Chi St Lukes Health Memorial LufkinLufkinTX10$1,586.00$555.10$92.98$243.80$1,427.40
Baptist Saint Anthonys HospitalAmarilloTX77$3,305.00$330.50$1,024.55$2,313.50$2,809.25
Falls Community Hospital And ClinicMarlinTX6$1,101.00$880.80$106.88$220.20$880.80
College Station Medical CenterCollege StationTX10$1,475.00$516.25$96.28$186.94$1,253.75
St. Joseph Regional Health CenterBryanTX10$1,475.00$516.25$96.28$186.94$1,253.75
Limestone Medical CenterGroesbeckTX8$621.60$372.96$114.46$183.87$497.28
Eastland Memorial HospitalEastlandTX3$338.00$169.00$103.00$179.50$304.00
Crescent Medical Center LancasterLancasterTX12$572.00$372.00$100.00$171.50$14,266
St. Lukes Sugar Land HospitalSugar LandTX18$1,949.00$682.15$78.56$163.66$1,656.65
St Lukes Hospital At The VintageHoustonTX20$1,949.00$682.15$78.56$163.66$1,656.65
Chi St Lukes Health Baylor Med CtrHoustonTX20$1,949.00$682.15$78.51$163.56$1,656.65
St. Lukes The Woodlands HospitalThe WoodlandsTX19$1,949.00$682.15$78.51$163.56$1,656.65
St. Lukes Lakeside HospitalThe WoodlandsTX19$1,949.00$682.15$78.56$158.52$1,656.65
St. Lukes Patients Medical CenterPasadenaTX12$1,746.00$611.10$91.47$152.43$1,484.10
Wilson N Jones Regional Medical CtrShermanTX12$1,197.42$957.94$30.15$149.20$1,197.42
Clay County Memorial HospitalHenriettaTX5$564.00$395.00$113.00$141.00$180.00
Brazosport Regional Health SystemLake JacksonTX11$1,444.00$505.40$96.28$137.97$808.64
Acuity Hospital Of South TexasSan AntonioTX11$1,758.24$1,758.24$61.24$1,318.68$1,582.42
Pam Squared At Corpus ChristiCorpus ChrstiTX26$1,130.75$1,130.75$50.31$128.99$961.14
Chi St Lukes Health Mem LivingstonLivingstonTX11$1,586.00$555.10$92.98$128.34$1,427.40
North Texas Medical CenterGainsvilleTX17$747.00$187.00$105.00$110.00$687.00
Methodist Hospital For SurgeryAddisonTX32$1,259.00$755.40$102.27$109.40$229.76
Trinity Regional Hospital SachseSachseTX10$559.66$447.73$30.15$102.95$475.71
Childrens Medical Center Of PlanoPlanoTX31$1,457.00$1,092.75$86.89$1,019.90$1,413.29
Trustpoint Rehabilitation Hospital OLubbockTX0$549.04
Yoakum County HospitalDenver CityTX0$297.16$297.16
Longview Regional Medical CenterLongviewTX0$2,175.23$587.31
Nocona General HospitalNoconaTX0$401.00$27.85
The Medical Ctr Of Southeast TexasPort ArthurTX0$2,083.40$2,083.40
Navarro Regional HospitalCorsicanaTX0$2,289.00$801.15
Laredo Specialty HospitalLaredoTX0$549.04
St Joseph Medical CenterHoustonTX0$1,942.67$1,942.67
Kingwood Emergency HospitalKingwoodTX0$2,206.61$1,103.31
Laredo Medical CenterLaredoTX0$2,398.24$839.38
Haskell Memorial HospitalHaskellTX0$334.18$334.18

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.