CMS Price Transparency Data

Ultrasound, pelvis

Facility: French Hospital Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$300
about 2.8× the $107 Medicare rate · typically $164–$592
modeled estimate · not a bill or quote
What this hospital charges insurers
$358
Above the fair price
about $58 over the fair price · 3.3× Medicare
Medicare pays $107 Fair price $300 This hospital $358 Cash price $227 Hospital's list price $578

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 $358

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

A fair price for a Ultrasound, pelvis is about $300 (about 2.8× the $107 Medicare rate). French Hospital Medical Center charges insurers about $358, or about $227 in cash — above the fair price. Located in San Luis Obispo, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $300. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $135 - $245 126%
Blue Cross Blue Shieldmajor $97 - $555 91%
Aetnamajor $135 - $578 126%
Cignamajor $602 564%
Humanamajor $135 126%
Kaiser Permanentemajor $135 - $1,168 126%
Health Net $119 - $324 111%
Molina $97 91%
+ 5 smaller / regional plans $97 - $289
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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: 1911 Johnson Ave, San Luis Obispo, CA 93401
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals