CMS Price Transparency Data

Ultrasound, pelvis

Facility: Arrowhead Regional Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $134
Cash Discount Price: $1,064
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Arrowhead Regional Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,064. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 400 North Pepper Avenue, Colton, CA.

Cash / Self-Pay

$1,064

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: $1,064 (996%)

Insurance Median: $134 (125%)

Cash: $1,064 (996% 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.

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
Alpha Care	$68	64%
Inland Faculty Medical Group	$68 - $134	64%
La Health Care	$68	64%
Lasalle Medical Associates	$68	64%
Physician Health Network	$68	64%
Inland Empire Health Plan	$74 - $134	69%
Molina	$91 - $155	85%
Innovage	$134	125%
Kaiser Foundation	$134 - $631	125%
Triwest	$134	125%
Correctional Health Partners	$175	164%
Wellpath	$188 - $532	176%
Multiplan	$766	717%
Blue Cross Blue Shield	$771	722%

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 $1,064.
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 Arrowhead Regional 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.