CMS Price Transparency Data

Ultrasound, pelvis

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $179
Cash Discount Price: $152
vs. Medicare Baseline: 1.68x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Medical West, An Affiliate of UAB Health System is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.68x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$179

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: $152 (142%)

Insurance Median: $179 (168%)

Cash: $152 (142% of Medicare)

Ins. Median: $179 (168% 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.

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
Cigna	$49 - $809	46%
Blue Cross Blue Shield	$95	89%
Aetna	$96 - $783	90%
Cooper Green	$96	90%
Jefferson County Sheriff	$96	90%
Triwest	$96	90%
United Mine Workers	$96	90%
UnitedHealthcare	$96 - $274	90%
Humana	$101 - $951	95%
Viva	$101 - $560	95%
Phcs	$121 - $783	113%
Beech Street	$125 - $783	117%
Ambetter / Centene	$131	123%
One Health Plan	$131 - $727	123%
Geha	$141 - $783	132%
Healthchoice	$141 - $783	132%
Alamed	$158 - $876	148%
Construction Claims Management	$163 - $905	153%
Multiplan	$166 - $918	155%
Corvel	$167 - $1,007	156%
Novanet	$169 - $934	158%
Department Of Labor	$176 - $974	165%
Heritage Summit Health	$176 - $974	165%
Pnoa	$182 - $1,007	170%
Three Rivers	$182 - $1,007	170%

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 $152.
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 Medical West, An Affiliate of UAB Health System 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.