CMS Price Transparency Data

Ultrasound, pelvis

Facility: Adventist Health Hanford

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $134
  • Cash Discount Price: $152
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Adventist Health Hanford is $134. 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 1.25x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$152

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $134 (125%)
Cash: $152 (142% of Medicare)
Ins. Median: $134 (125% 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
Blue Shield Mcr Adv $33 - $134 31%
Fhcn Pace Mcr Adv-All Plans $33 - $134 31%
Prime Health Mcr Adv- All Plans $33 - $134 31%
Tricare $33 - $134 31%
UnitedHealthcare $33 - $616 31%
Central Valley Med Prov Profee Only-All Plans $35 33%
Ah Employee Health Plan - All Plans $36 - $242 34%
Blue Shield Epn $40 - $689 37%
Cigna $40 - $871 37%
Blue Shield Non-Epn - All Other Plans $43 - $756 40%
Kaiser - All Other Plans $45 - $734 42%
Kaiser Mcr Adv $45 - $134 42%
Healthnet - All Other Plans $48 - $783 45%
Western Growers/Pinnacle- All Plans $49 - $675 46%
Bc Mcal $51 - $68 48%
Blue Cross Blue Shield $61 - $537 57%
Healthnet Mcal $68 - $127 64%
Kaiser Mcal $68 - $97 64%
Medi-Cal $68 - $97 64%
Universal Hc Mcal Profee $68 64%
Upn Mcal Profee $68 64%
Aetna $83 - $533 78%
Valley Childrens - All Plans $114 - $163 107%
Healthnet Mcr Adv $134 125%
Key Medical Mcr Adv $134 125%
Universal Hc Mcr Adv Profee - All Other Plans $134 125%
Upn Mcr Adv Profee - All Other Plans $134 125%
Fresno - All Plans $160 150%
Key Medical Group Commercial - All Other Plans $161 151%
Bright Health Mcr Adv-All Plans $211 198%
Phcs Ppo- All Plans $954 893%
Community Hlth Ntwork-All Plans $983 920%
First Health - All Plans $1,144 1071%
Choicecare- All Plans $1,203 1126%
Multiplan- All Plans $1,218 1140%
Interplan- All Plans $1,232 1153%
Beech Street- All Plans $1,247 1167%
Preferred Health Network- All Plans $1,394 1305%
Pacific Health Alliance- All Plans $1,423 1332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals