CMS Price Transparency Data

Ultrasound, pelvis

Facility: Glendale Adventist Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $134
  • Cash Discount Price: $220
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Glendale Adventist Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $220. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 1509 E Wilson Terrace, Glendale, CA.
Cash / Self-Pay
$220

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: $220 (206%)
Insurance Median: $134 (125%)
Cash: $220 (206% 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
Alignment Hp Mcr Adv - All Plans $34 - $2,798 32%
Blue Shield Mcr Adv $34 - $134 32%
Caremore Mcr Adv - All Plans $34 - $1,595 32%
Clever Care Mcr Adv - All Plans $34 - $134 32%
Healthcare Partners- All Plans $34 - $1,329 32%
La Care Mcr Adv- All Plans $34 - $1,539 32%
Molina Mcr $34 - $134 32%
Scan Mcr Adv - All Plans $34 - $1,819 32%
Tricare $34 - $134 32%
UnitedHealthcare $34 - $1,329 32%
Aetna $35 - $472 33%
Blue Cross Blue Shield $36 - $485 34%
Ah Employee Health Plan - All Plans $38 - $242 36%
Blue Shield Epn - All Other Plans $40 - $1,030 37%
Cigna $41 - $574 38%
Heritage Commercial - All Other Plans $41 - $161 38%
Heritage Sr $41 - $144 38%
Regal Medical Group Commercial - All Other Plans $41 - $161 38%
Blue Shield Non Epn $43 - $1,186 40%
Dept Of State Hsp Metropolitan- All Plans $45 - $175 42%
Molina Exchange - All Other Plans $47 - $182 44%
Healthnet Mcr Adv $49 - $3,973 46%
Healthnet - All Other Plans $50 - $1,579 47%
Bc Medi-Cal $51 - $68 48%
Western Growers/Pinnacle - All Plans $51 - $1,203 48%
Centivo - All Plans $52 - $303 49%
Blue Shield Medi-Cal $68 - $243 64%
Medi-Cal $68 - $97 64%
Molina Mcal $68 - $97 64%
Heritage Mcal $72 - $103 67%
Healthnet Mcal $81 - $116 76%
First Health- All Plans $82 - $1,623 77%
Phcs- All Plans $92 - $1,819 86%
Corvel- All Plans $113 - $2,238 106%
Health Mgmt Network - All Plans $120 - $2,378 112%
Kaiser - All Plans $120 - $2,378 112%
Regal Med Group Mcal $134 125%
Employers Health Network - All Plans $350 328%
Phys Assoc Op Only- All Plans $839 786%
Beech Street - All Plans $2,098 1964%
Choicecare - All Plans $2,098 1964%
Three Rivers - All Plans $2,378 2226%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1509 E Wilson Terrace, Glendale, CA 91206
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals