CMS Price Transparency Data

Ultrasound, pelvis

Facility: Petaluma Valley Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$303
about 2.8× the $107 Medicare rate · typically $156–$330
modeled estimate · not a bill or quote
What this hospital charges insurers
$269
Below the fair price — a good deal
about $34 under the fair price · 2.5× Medicare
Medicare pays $107 Fair price $303 This hospital $269 Cash price $1,369 Hospital's list price $2,685

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $34 Priciest $269

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, pelvis is about $303 (about 2.8× the $107 Medicare rate). Petaluma Valley Hospital charges insurers about $269, or about $1,369 in cash — below the fair price — a good deal. Located in Petaluma, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $179 168%
Blue Cross Blue Shieldmajor $358 - $515 335%
Aetnamajor $144 - $496 135%
Health Net $141 132%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 400 N McDowell Blvd, Petaluma, CA 94954
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals