CMS Price Transparency Data

Ultrasound, pelvis

Facility: Athens Limestone Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$101
about 0.9× the $107 Medicare rate · typically $94–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
About the fair price
about $4 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $101 This hospital $97 Cash price $487 Hospital's list price $487

How we calculate the fair BaseRate →

How this hospital compares to other AL hospitals

Highest price of the 9 AL hospitals we have prices for — worth calling around.

Cheapest $61 Priciest $97

Black dot = this hospital, among the 9 AL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, pelvis is about $101 (about 0.9× the $107 Medicare rate). Athens Limestone Hospital charges insurers about $97, or about $487 in cash — about the fair price. Located in Athens, AL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $88 - $168 82%
Blue Cross Blue Shieldmajor $88 - $307 82%
Aetnamajor $70 - $709 66%
Cignamajor $88 - $142 82%
Ambetter (Centene) $88 - $189 82%
Devoted Health $88 - $98 82%
WellCare $88 - $104 82%
+ 1 smaller / regional plan $70 - $709

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 700 West Market Street, Athens, AL 35611
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals