CMS Price Transparency Data

Ultrasound, pelvis

Facility: Sharp Coronado Hospital and Hlthcr Ctr

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $968
Cash Discount Price: $1,312
vs. Medicare Baseline: 9.06x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Sharp Coronado Hospital and Hlthcr Ctr is $968. 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 9.06x the Medicare baseline. Located in 250 Prospect Place, Coronado, CA.

Cash / Self-Pay

$1,312

Average discount available for prompt cash payment at this facility.

Insurance Median

$968

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: $968 (906%)

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

Ins. Median: $968 (906% 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 906% of the Medicare baseline (a markup of 806%). 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
Health Net	$262 - $1,312	245%
UnitedHealthcare	$519 - $1,224	486%
Aetna	$595 - $1,172	557%
Epic Americas	$595	557%
Multiplan	$681	638%
Medi-Cal	$809 - $1,146	757%
Interplan	$840 - $1,084	786%
Blue Cross Blue Shield	$874 - $1,399	818%
Blue Shield	$874 - $1,312	818%
Molina	$874 - $1,399	818%
Indian Health Council	$1,084 - $1,574	1015%
Cigna	$1,102	1032%
Humana	$1,147	1074%
Managed Health Network	$1,160	1086%
Allianz Global Assistance	$1,224	1146%
Kaiser	$1,224	1146%

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 Coronado Hospital and Hlthcr Ctr 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.