CMS Price Transparency Data
Ultrasound, pelvis
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 76856 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76856
- Insurance Median: $1,161
- Cash Discount Price: $1,327
- vs. Medicare Baseline: 10.87x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $1,161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,327. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.87x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$1,327
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,161
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: $1,327 (1242%)
Insurance Median: $1,161 (1087%)
Cash: $1,327 (1242% of Medicare)
Ins. Median: $1,161 (1087% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1087% of the Medicare baseline (a markup of 987%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Champva [1020] | $89 | 83% |
| Mid County Physicians Med Grp [1054] | $89 | 83% |
| Alameda Alliance For Health [2027] | $97 | 91% |
| Alignment Health Plan [2020] | $97 | 91% |
| Alternate Medi-Cal [2001] | $97 | 91% |
| Blue Cross Blue Shield | $97 - $1,415 | 91% |
| Brand New Day [1089] | $97 | 91% |
| California Department Of Public Health [1237] | $97 | 91% |
| California Health & Wellness Medi-Cal [1122] | $97 | 91% |
| Caremore [2028] | $97 | 91% |
| Cms - County Medical Services [1025] | $97 - $1,568 | 91% |
| Community Care Ipa [1131] | $97 | 91% |
| Community Eldercare [1027] | $97 | 91% |
| Federal Prison [1031] | $97 | 91% |
| Gold Coast Health Plan [2031] | $97 | 91% |
| Health Plan Of San Joaquin [2032] | $97 | 91% |
| Hemet Community Med Grp - Promisecare [1040] | $97 | 91% |
| Imperial Health Holdings [1132] | $97 | 91% |
| Kern Health Systems [2033] | $97 | 91% |
| La Care Health Plan [2025] | $97 | 91% |
| Medi-Cal [1048] | $97 | 91% |
| Medicaid / KanCare | $97 | 91% |
| Regal Mg 'Heritage Provider Network' [2019] | $97 | 91% |
| San Diego County [1071] | $97 - $1,206 | 91% |
| Sd Physicians Med Grp [1076] | $97 - $1,568 | 91% |
| State Of California [1082] | $97 | 91% |
| UnitedHealthcare | $97 - $2,896 | 91% |
| Unlisted Mcal Hmo Non-Contract [1049] | $97 | 91% |
| Vantage [1092] | $97 - $1,448 | 91% |
| Ximed [2016] | $97 | 91% |
| Blue Shield Promise [1017] | $112 | 105% |
| Ucr Prompt Pay Payor [8240] | $113 | 106% |
| Alternate Molina [1240] | $122 | 114% |
| Molina [1055] | $122 | 114% |
| Community Health Group [1022] | $125 | 117% |
| Health Net [1039] | $131 - $6,781 | 123% |
| Inland Empire Health Plan Transplant [1126] | $136 | 127% |
| Inland Empire Health Plan [1121] | $136 | 127% |
| Cal Optima [1016] | $141 | 132% |
| Aetna | $243 - $1,054 | 228% |
| Cigna | $290 - $1,448 | 272% |
| Humana | $290 - $2,051 | 272% |
| Mc Blue Shield Generic Payor [164016] | $290 | 272% |
| Mc Blue Shield Hmo [164015] | $290 | 272% |
| Mc Brand New Day Generic Payor [164031] | $290 | 272% |
| Mc Brand New Day Hmo [164030] | $290 | 272% |
| Mc Healthnet Generic Payor [164010] | $290 | 272% |
| Mc Healthnet Hmo [164004] | $290 | 272% |
| Mc Hnet Blue&Gold Aco [164017] | $290 | 272% |
| Mc Scan Generic Payor [164034] | $290 | 272% |
| Mc Scan Hmo [164035] | $290 | 272% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $290 | 272% |
| Padres Workers Compensation [2013] | $388 | 363% |
| Padres [2014] | $388 | 363% |
| Arch Health Partners [2000] | $603 | 565% |
| Multicultural Med Grp [1057] | $603 | 565% |
| Scripps Clinic [1073] | $845 - $1,930 | 791% |
| Alternate Scan Health [2088] | $965 | 903% |
| Elizabeth Hospice [2018] | $965 | 903% |
| Scan Health [1072] | $965 | 903% |
| Blue Shield [1014] | $1,024 - $1,457 | 959% |
| Olympus Managed Healthcare Inc [1102] | $1,054 | 987% |
| Alternate Healthnet [1007] | $1,161 - $2,413 | 1087% |
| Usoc - Us Olympic Committee [1123] | $1,192 | 1116% |
| Global Excel [1036] | $1,206 | 1129% |
| Sharp Health Plan [1079] | $1,206 - $1,583 | 1129% |
| Alternate Blue Shield [2002] | $1,457 | 1364% |
| Blue Shield Transplants [1113] | $1,457 | 1364% |
| Alternate Sheriff Custody [1106] | $1,568 | 1468% |
| Axa Assistance [1098] | $1,568 | 1468% |
| Cassidy Med Grp [1019] | $1,568 | 1468% |
| Cmn - Canadian Medical Network [1024] | $1,568 | 1468% |
| Ets - Lifetrac Network [1103] | $1,568 | 1468% |
| Health Net Bh (Mhn) [1038] | $1,568 | 1468% |
| Health Net Bh (Mhn) [2010] | $1,568 | 1468% |
| Interlink Health Services Transplant [1124] | $1,568 | 1468% |
| Interlink Health Transplant [2085] | $1,568 | 1468% |
| Mgm Resorts [1053] | $1,568 | 1468% |
| National Healthcare Solutions Inc [1100] | $1,568 | 1468% |
| Quality Health [1069] | $1,568 | 1468% |
| San Diego County Sheriff Custody [2012] | $1,568 | 1468% |
| Scripps Coastal Med Grp [1074] | $1,568 | 1468% |
| Tri-City [1085] | $1,568 | 1468% |
| Graybill Med Grp [1037] | $1,583 | 1482% |
| Sharp Community Med Grp [1078] | $1,583 | 1482% |
| Sharp Rees Stealy [1080] | $1,583 | 1482% |
| Kaiser [1046] | $1,617 | 1514% |
| Alternate Health Net Bh [2059] | $1,641 | 1536% |
| Embassy Sponsored [1101] | $1,641 - $1,689 | 1536% |
| Healthnet Transplants [1114] | $1,641 | 1536% |
| Interplan [1045] | $1,689 | 1581% |
| Mercy Physicians Med Grp [1052] | $1,689 | 1581% |
| Pacific Foundation [1063] | $1,689 | 1581% |
| Beech Street [1012] | $1,810 | 1695% |
| First Health [1032] | $1,810 | 1695% |
| Admar [1001] | $1,858 | 1740% |
| Bps - Benefit Plan Services [1015] | $1,858 | 1740% |
| Multiplan [1058] | $1,858 | 1740% |
| Private Healthcare Systems [1067] | $1,858 - $2,413 | 1740% |
| Carnival Cruises [1018] | $1,930 | 1807% |
| Scripps Health Plan Services [1075] | $1,930 | 1807% |
| Alternate Kaiser Rad Onc [2089] | $2,413 | 2259% |
| Chargers Football Company [1109] | $2,413 | 2259% |
| Palomar Health [1128] | $2,896 | 2711% |
| Easy Choice [1029] | $3,016 | 2824% |
| Sharp Healthcare Transplant [1119] | $3,258 | 3050% |