Ultrasound, pelvis
Facility: Flowers Hospital
Billing Code: 76856 (CPT)
- CPT Billing Code: 76856
- Insurance Median: $337
- Cash Discount Price: $643
- vs. Medicare Baseline: 3.16x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 316% of the Medicare baseline (a markup of 216%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Alabama Rehab | $71 | 66% |
| Medicaid / KanCare | $71 - $104 | 66% |
| Veterans Eval Services | $92 | 86% |
| Tricare | $96 | 90% |
| Blue Cross Blue Shield | $99 - $246 | 93% |
| Humana | $99 | 93% |
| Medicare (plans) | $99 | 93% |
| Node Viva Mcr Adv | $99 | 93% |
| UnitedHealthcare | $99 - $224 | 93% |
| Select Health | $100 | 94% |
| Care Improvement Plus | $101 | 95% |
| Cigna | $101 - $193 | 95% |
| Compassionate Hands | $101 | 95% |
| Covenant Hospice | $101 | 95% |
| Dayspring Hospice | $101 | 95% |
| Node Champva | $101 | 95% |
| Node Devoted Health Mcr Adv | $101 | 95% |
| Node Hospice Non Par | $101 | 95% |
| Node Va | $101 | 95% |
| Southern Care Hospice | $101 | 95% |
| Vistacare Hospice | $101 | 95% |
| Wiregrass Hospice | $101 | 95% |
| Aetna | $102 - $2,085 | 95% |
| Node Clover Health Mcr Adv | $102 | 95% |
| Node Wellcare Mcr Adv | $103 | 96% |
| Eon Health Care | $104 | 97% |
| Prime Health | $106 - $2,015 | 99% |
| Node Us Dept Of Labor | $126 | 118% |
| Ambetter / Centene | $151 | 141% |
| Occunet | $176 | 165% |
| Self Pay | $428 - $857 | 401% |
| S & S Healthcare | $714 | 668% |
| Choicecare Commercial | $1,000 | 936% |
| American Employee Alliance | $1,142 | 1069% |
| Coventry Healthcare | $1,428 - $2,181 | 1337% |
| Viva Health | $1,714 | 1605% |
| Multiplan | $1,856 - $2,285 | 1738% |
| Standard Textile | $1,999 | 1872% |
| Alamed Wc | $2,015 | 1887% |
| Health Choice | $2,085 | 1952% |
| Equian | $2,142 - $2,252 | 2005% |
| Qhp | $2,142 | 2005% |
| Novanet | $2,285 | 2139% |
| Alabama Work Comp | $2,370 | 2219% |
| Ccn/Mednet Ppo | $2,428 | 2273% |
| Corvel | $2,428 | 2273% |
| Industry Buying Group | $2,428 | 2273% |
| Galaxy Health | $2,570 | 2406% |
| Health Payors Org | $2,570 | 2406% |
| National Provider Net | $2,570 | 2406% |