CMS Price Transparency Data

Ultrasound, pelvis

Facility: Sharp Chula Vista Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $988
Cash Discount Price: $1,312
vs. Medicare Baseline: 9.25x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Sharp Chula Vista Medical Center is $988. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,312. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.25x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$1,312

Average discount available for prompt cash payment at this facility.

Insurance Median

$988

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: $1,312 (1228%)

Insurance Median: $988 (925%)

Cash: $1,312 (1228% of Medicare)

Ins. Median: $988 (925% 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 925% of the Medicare baseline (a markup of 825%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Cross Blue Shield	$490 - $1,312	459%
Blue Shield	$519 - $595	486%
County Medical Services	$519	486%
Health Net	$519 - $1,574	486%
Aetna	$595 - $1,224	557%
Epic Americas	$595	557%
UnitedHealthcare	$735 - $1,714	688%
San Diego Pace	$838 - $988	785%
Molina	$840 - $1,399	786%
Community Health Group	$962 - $1,067	901%
Medi-Cal	$1,049	982%
Medicare (plans)	$1,067	999%
Multiplan	$1,146 - $1,714	1073%
Interplan	$1,224	1146%
Managed Health Network	$1,399	1310%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,312.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.