CMS Price Transparency Data

Ultrasound, pelvis

Facility: Alaska Regional Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $1,064
Cash Discount Price: $1,729
vs. Medicare Baseline: 9.96x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Alaska Regional Hospital is $1,064. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,729. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.96x the Medicare baseline. Located in 2801 Debarr Road, Anchorage, AK.

Cash / Self-Pay

$1,729

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,064

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,729 (1619%)

Insurance Median: $1,064 (996%)

Cash: $1,729 (1619% of Medicare)

Ins. Median: $1,064 (996% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 996% of the Medicare baseline (a markup of 896%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$225 - $966	211%
Union Coalition	$510	477%
Union Coalition Cement Masons	$529	495%
Moda Health	$552 - $813	517%
United	$640 - $1,306	599%
Premerafirst	$856	801%
Geha Ppo Usa	$892 - $1,515	835%
Cigna	$937	877%
Multiplan	$1,038 - $1,608	972%
Coventry Healthcare	$1,089	1020%
First Health	$1,210	1133%
Bering Strait School District	$1,297	1214%
Nreca Group Benefit Trust	$1,297	1214%
Risk & Benefit Management	$1,297	1214%
Banner Health	$1,383	1295%
Matanuska Telephone	$1,383	1295%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,729.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alaska Regional Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.