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Pelvic ultrasound complete

CPT 76856 · negotiated-rate distribution across hospitals in WI

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Hospitals
36
Min
$107.34
Median
$525.00
Max
$1,139.47
Range multiplier
10.6×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
UnitedHealthcare30114$30.38$586.00$1,431.4047.1×
Anthem BCBS20112$30.38$408.00$1,681.3455.3×
Cigna2554$60.20$700.00$1,438.2023.9×
healthpartners1248$372.00$527.75$1,275.003.4×
Aetna1543$301.00$788.83$17,93459.6×
Humana636$31.90$196.15$1,225.5338.4×
common ground1236$368.00$368.00$368.001.0×
wisconsin physician service1236$499.00$525.00$525.001.1×
Medicare1430$84.26$103.26$310.463.7×
trilogy2125$519.00$526.00$1,239.302.4×
health eos plus1224$462.00$756.00$1,020.002.2×
health eos1224$616.00$1,008.00$1,360.002.2×
Molina1824$101.14$392.00$1,170.4511.6×
VA Health1122$102.23$103.26$108.061.1×
wps721$117.61$250.95$368.563.1×
health payment systems1718$460.22$525.00$958.392.1×
aspirus217$30.38$208.25$1,061.9035.0×
centivo1617$326.40$383.00$698.302.1×
network health plan817$54.16$174.18$1,149.8021.2×
Blue Cross Blue Shield417$53.75$148.75$1,021.7219.0×
smart health714$144.56$144.56$151.281.0×
First Health813$212.38$718.08$1,321.926.2×
quartz group1212$370.00$370.00$370.001.0×
aurora caregiver1212$300.00$300.00$300.001.0×
quartz one1212$315.00$315.00$315.001.0×
everpointe elite1212$406.00$406.00$406.001.0×
hs technology1212$366.00$366.00$366.001.0×
Multiplan512$606.74$733.74$1,308.152.2×
security health plan511$64.50$548.65$743.0611.5×
health partners510$101.14$586.74$1,308.1512.9×
wps health plan410$506.73$600.08$805.731.6×
froedtert health39$466.73$566.74$760.961.6×
alliance39$114.20$243.68$357.883.1×
quartz health insurance39$566.74$566.74$760.961.3×
prevea 36019$30.38$182.75$1,504.3649.5×
dean health plan47$408.00$533.40$716.201.8×
group health cooperative of eau claire47$533.40$1,129.14$1,308.152.5×
cchp26$78.25$218.72$296.973.8×
trilogy health solutions36$500.06$566.74$760.961.5×
centivo nw126$83.85$179.50$263.353.1×
centivo nw326$83.85$179.50$263.353.1×
Medicaid26$90.69$203.15$271.723.0×
common ground healthcare cooperative36$500.06$566.74$760.961.5×
mercy care15$75.25$283.50$587.587.8×
medica [900156]34$211.09$485.53$740.303.5×
healthsmart34$600.08$638.68$677.281.1×
medical associates health plan14$100.56$271.29$637.146.3×
medical college of wisconsin44$269.28$466.73$626.682.3×
health partners open network14$62.69$178.36$645.9910.3×
smarthealth24$143.12$143.12$143.121.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Childrens WisconsinMilwaukeeWI29$895.25$492.39$626.68$757.38$850.49
Ssh - Fox ValleyOshkoshWI30$666.75$366.71$466.73$566.74$633.41
Childrens Hospital Of Wi-Fox ValleyNeenahWI30$666.75$366.71$466.73$566.74$633.41
West Allis Memorial HospitalWest AllisWI18$1,700.00$850.00$300.00$553.50$17,934
Holy Family Memorial IncManitowocWI25$816.00$448.80$101.14$527.55$718.08
Aurora Medical Center - HartfordHartfordWI18$1,500.00$750.00$300.00$526.00$1,275.00
Memorial Hospital Of BurlingtonBurlingtonWI18$1,370.00$685.00$300.00$526.00$1,164.50
Aurora Lakeland Medical CenterElkhornWI18$1,370.00$685.00$300.00$526.00$1,164.50
Aurora Health Care Metro Inc.MilwaukeeWI18$1,150.00$575.00$300.00$526.00$977.50
Aurora Medical Center KenoshaKenoshaWI18$1,540.00$770.00$300.00$526.00$1,309.00
Aurora Medical Center - SummitSummitWI18$955.00$477.50$300.00$526.00$811.75
Aurora Medical Center GraftonGraftonWI18$1,150.00$575.00$300.00$526.00$977.50
Aurora Med Ctr Of Manitowoc CountyTwo RiversWI18$1,080.00$540.00$300.00$526.00$918.00
Sheboygan Memorial HospitalSheboyganWI18$770.00$385.00$300.00$525.00$700.00
Aurora Medical Center Of OshkoshOshkoshWI18$830.00$415.00$300.00$525.00$705.50
Aurora Medical Center - Bay AreaMarinetteWI18$1,650.00$825.00$300.00$525.00$1,395.90
Amery Regional Medical CenterAmeryWI6$829.00$432.24$247.54$307.56$803.80
Hudson HospitalHudsonWI8$614.00$276.98$130.29$210.11$964.00
Ascension Columbia St Marys MilwaukeMilwaukeeWI8$1,140.00$604.20$54.16$196.15$357.88
Ascension Columbia St Marys OzaukeeMequonWI8$1,140.00$604.20$54.16$196.15$357.88
Ascension Sacred Heart RehabilitatioMilwaukeeWI5$872.00$462.16$54.16$196.15$357.88
Meriter Hospital Inc.MadisonWI14$1,769.83$1,415.87$30.38$157.01$1,681.34
All Saints - St. Luke S HospitalRacineWI7$700.00$371.00$108.06$151.28$546.00
Wheaton Franciscan Healthcare - AllRacineWI7$700.00$371.00$108.06$151.28$546.00
Ascension Se Wisconsin Hospital IncMilwaukeeWI7$700.00$371.00$103.26$144.56$546.00
Wheaton Franciscan - FranklinFranklinWI7$700.00$371.00$103.26$144.56$546.00
Wfhc - Elmbrook MemorialBrookfieldWI7$700.00$371.00$103.26$144.56$546.00
Ascension Wisconsin Emerus MenomoneeMenomonee FallsWI7$700.00$371.00$103.26$144.56$546.00
MoshFranklinWI7$700.00$371.00$103.26$144.56$546.00
Westfields HospitalNew RichmondWI8$297.00$156.22$84.26$118.67$297.00
Beaver Dam Community HospitalsBeaver DamWI17$1,377.00$1,308.15$343.65$1,139.47$1,321.92
Mercy Medical CenterOshkoshWI9$444.00$253.08$34.66$107.34$296.97
Ascension Ne Wisconsin-St. ElizabethAppletonWI9$444.00$253.08$34.66$107.34$296.97
University Of Wi Hospitals & ClinicsMadisonWI0$1,445.00$867.00
River Falls Area HospitalRiver FallsWI0$908.30$508.65
Uw Health Rehabilitation HospitalMadisonWI0$1,445.00$867.00

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.