CMS Price Transparency Data

Ultrasound, pelvis

Facility: Stone County Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $85
Cash Discount Price: $225
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Stone County Medical Center is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.80x the Medicare baseline. Located in 2106 East Main Street, Mountain View, AR.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $225 (211%)

Insurance Median: $85 (80%)

Cash: $225 (211% of Medicare)

Ins. Median: $85 (80% 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
Blue Cross Blue Shield	$32 - $108	30%
Aetna	$81 - $264	76%
Arkansas Superior Select Scmc	$81	76%
Hmo Partners Inc Scmc	$81	76%
Medicare (plans)	$81 - $82	76%
Medipak Advantage Scmc	$81	76%
UnitedHealthcare	$81	76%
Cigna	$84	79%
Allwell Scmc	$85	80%
Wellcare Scmc	$85	80%
Arkansas Caresource	$100	94%
Ambetter / Centene	$109	102%
Qualchoice (Alliance) Scmc	$117	110%
Provider Network Of America Scmc	$130	122%
Municipal Health Benefit Fund	$168	157%
Multiplan	$210	197%

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 $225.
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 Stone County Medical Center 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.