CMS Price Transparency Data

Ultrasound, pelvis

Facility: Page Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $84
  • Cash Discount Price: $404
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Page Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $404. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.79x the Medicare baseline. Located in 501 North Navajo Drive, Page, AZ.
Cash / Self-Pay
$404

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $404 (378%)
Insurance Median: $84 (79%)
Cash: $404 (378% of Medicare)
Ins. Median: $84 (79% 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
Humana $30 - $357 28%
Plotkin Health $40 - $474 37%
Aetna $44 - $956 41%
Arizona Physicians Ipa $47 - $558 44%
Banner Health $47 - $558 44%
Banner University Health Plan $47 - $558 44%
Blue Cross Blue Shield $47 - $831 44%
Care 1St $47 - $558 44%
Cigna $47 - $970 44%
Gila River Health Care Corporation $47 - $558 44%
Health Choice Arizona, Inc. $47 - $679 44%
Health Net $47 - $826 44%
Kaiser Foundation Health Plan $47 - $558 44%
Mercy Care $47 - $558 44%
Triwest Healthcare Alliance Corp - Va Ccn $47 - $558 44%
Upmc Health Plan $47 - $558 44%
Wellpoint $47 - $558 44%
Carelon $49 - $586 46%
Arizona Priority Care $51 - $614 48%
Devoted Health Services $51 - $614 48%
Gold Kidney Health Plan $51 - $614 48%
Quiktrip Corporation $62 - $737 58%
Coconino County Sheriff'S Department $64 - $769 60%
Oscar Health Plan $77 - $921 72%
Provider Network Of America $79 - $948 74%
Arizona Medical Network $84 - $1,000 79%
National Healthcare Solutions Inc (Nhsi) And Vip Universal Medical Insurance Group (Vumi) $84 - $1,000 79%
UnitedHealthcare $558 - $579 522%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 North Navajo Drive, Page, AZ 86040
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals