CMS Price Transparency Data

Ultrasound, pelvis

Facility: University of California Davis Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $65
  • Cash Discount Price: $768
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at University of California Davis Medical Center is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $768. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.61x the Medicare baseline. Located in 2315 Stockton Boulevard, Sacramento, CA.
Cash / Self-Pay
$768

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $768 (719%)
Insurance Median: $65 (61%)
Cash: $768 (719% of Medicare)
Ins. Median: $65 (61% 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
Adventist $33 - $114 31%
Generic $33 - $114 31%
Healthnet $33 - $415 31%
Blue Cross Blue Shield $65 - $136 61%
Carpenters H&W $65 61%
Cement Masons Trust Fund $65 61%
Delta $65 61%
Healthcomp $65 61%
Ironworkers $65 61%
Joint Benefit Trust $65 61%
Laborers Health And Welfare $65 61%
Operating Engrs Health Welfare $65 61%
Sierra Pacific Industries $65 61%
Western Growers $65 61%
Dignity/Chw $85 80%
UnitedHealthcare $141 - $726 132%
Blue Shield Senior $142 133%
Healthnet Senior $144 135%
San Joaquin Health Plan Gmc $149 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2315 Stockton Boulevard, Sacramento, CA 95817
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals