CMS Price Transparency Data

Ultrasound, pelvis

Facility: Kingman Regional Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $124
  • Cash Discount Price: $414
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Kingman Regional Medical Center is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $414. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.
Cash / Self-Pay
$414

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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: $414 (388%)
Insurance Median: $124 (116%)
Cash: $414 (388% of Medicare)
Ins. Median: $124 (116% 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.

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
UnitedHealthcare $23 - $1,015 22%
Health Choice Generations $32 - $112 30%
Hpn Sierra Nevada Mcr Adv $32 - $112 30%
Medicare (plans) $32 - $112 30%
Triwest - All Plans $32 - $112 30%
Humana $33 - $1,394 31%
Care 1St Mcr Adv-All Other Plans $34 - $117 32%
Mercy Care Adv Snp-All Other Plans $35 - $123 33%
Geo Group Chc Az State Prison-All Plans $48 - $167 45%
Aetna $50 - $1,256 47%
Health Plan Of Nevada-All Other Plans $50 - $1,227 47%
Health Choice Hie Exchange $54 - $1,628 51%
Multiplan-All Plans $54 - $1,628 51%
Health Choice- All Other Plans $80 - $279 75%
Apipa - Ahcccs-All Other Plans $107 - $2,035 100%
Care 1St Mcaid $107 - $2,137 100%
Health Choice Az $107 - $2,035 100%
Mercy Care Ahcccs Ddd $118 - $2,238 110%
Blue Cross Blue Shield $129 - $1,160 121%
Cigna $194 - $1,832 182%
Three Rivers-All Plans $305 - $1,872 286%
America'S Choice Provider Network-All Plans $315 - $1,933 295%
Az Foundation-All Plans $332 - $2,035 311%
Mediversal-All Plans $332 - $2,035 311%
One Health Plan-All Plans $332 - $2,035 311%
Universal Health-All Plans $332 - $2,035 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3269 Stockton Hill Road, Kingman, AZ 86401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals