CMS Price Transparency Data

Ultrasound, pelvis

Facility: Adventist Health Sierra Vista

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$278
about 2.6× the $107 Medicare rate · typically $164–$784
modeled estimate · not a bill or quote
What this hospital charges insurers
$242
Below the fair price — a good deal
about $36 under the fair price · 2.3× Medicare
Medicare pays $107 Fair price $278 This hospital $242 Cash price $341 Hospital's list price $3,784

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 $242

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 $278 (about 2.6× the $107 Medicare rate). Adventist Health Sierra Vista charges insurers about $242, or about $341 in cash — below the fair price — a good deal. Located in San Luis Obispo, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $134 - $1,302 125%
Blue Cross Blue Shieldmajor $1,483 - $4,548 1388%
Aetnamajor $134 125%
+ 9 smaller / regional plans $134 - $4,919
Government programs also on file: Medicaid, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1010 Murray St, San Luis Obispo, CA 93405
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals