CMS Price Transparency Data
Ultrasound, pelvis
Facility: Monterey Park Hospital
Billing Code: 76856 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76856
- Insurance Median: $165
- Cash Discount Price: $1,808
- vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Monterey Park Hospital is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,808. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.54x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$1,808
Average discount available for prompt cash payment at this facility.
Insurance Median
$165
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: $1,808 (1693%)
Insurance Median: $165 (154%)
Cash: $1,808 (1693% of Medicare)
Ins. Median: $165 (154% 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 |
|---|---|---|
| Blue Cross Blue Shield | $21 - $904 | 20% |
| La Care Health Plan | $54 - $994 | 51% |
| Access Ipa Ancillary | $60 | 56% |
| Associated Hispanic Physicians Ancillary | $60 | 56% |
| Esperanza Medical Group Ipa | $60 | 56% |
| Accountable Ipa | $68 | 64% |
| Ahmc Healthcare Inc | $68 - $542 | 64% |
| Allied Physicians | $68 - $202 | 64% |
| Alta Med Health Services Corp | $68 - $452 | 64% |
| Altamed Health Network | $68 - $132 | 64% |
| Altamed Health Services | $68 | 64% |
| Applecare Medical Group | $68 - $108 | 64% |
| Assess Ipa | $68 | 64% |
| Beverly Hospital | $68 - $148 | 64% |
| Brand New Day | $68 - $168 | 64% |
| Care 1St Mcl/Gar Cap | $68 | 64% |
| Community Health Plan | $68 | 64% |
| Family Health Alliance Medical Group | $68 - $500 | 64% |
| Health Net Medi Cal | $68 | 64% |
| Healthnet Inc | $68 | 64% |
| Healthy Way La | $68 | 64% |
| La Care | $68 - $134 | 64% |
| Medical Managed Care Program | $68 | 64% |
| Molina Healthcare | $68 | 64% |
| Other Non-Contracted Medi-Cal | $68 | 64% |
| Preferred Ipa | $68 - $168 | 64% |
| Preferred Ipa Of California | $68 | 64% |
| Alhambra Community Dialysis Unit Inc | $87 - $1,085 | 81% |
| Veterans Administration | $94 | 88% |
| Aids Health Foundation | $97 - $132 | 91% |
| Avanti | $97 - $161 | 91% |
| Bella Vista Medical Group Ancillary | $97 | 91% |
| Central Health Plan | $97 | 91% |
| Emanate Health | $97 - $168 | 91% |
| Hollywood Presbyterian Adv Med Mcal | $97 | 91% |
| Hollywood Presbyterian Medpoint Mcal | $97 | 91% |
| Maxi Med Inc/Ipa | $97 - $134 | 91% |
| Medi Cal | $97 | 91% |
| Pacific Independent Physician Association | $97 - $542 | 91% |
| Bella Vista Medical Group | $108 - $542 | 101% |
| Senior Citizens Choice | $119 | 111% |
| Alignment Health Plan | $130 | 122% |
| Aetna | $132 - $1,316 | 124% |
| Apa/Aco Inc | $132 | 124% |
| Blue Shield Of California | $132 - $904 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| First Health Senior | $132 | 124% |
| Foundation Health Plan | $132 | 124% |
| Health Net | $132 - $1,175 | 124% |
| Health Net Inc | $132 - $1,280 | 124% |
| Humana | $132 | 124% |
| Medicare (plans) | $132 - $139 | 124% |
| Scan Health Plan | $132 | 124% |
| Secure Horizons | $132 | 124% |
| Ucla/Impact Cancer | $132 | 124% |
| UnitedHealthcare | $132 - $1,266 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $134 | 125% |
| La Care Covered Direct | $134 | 125% |
| Self-Pay | $134 | 125% |
| Molina Healthcare Medi-Connect | $139 | 130% |
| Caloptima Direct | $143 | 134% |
| San Miguel Health Plan | $148 | 139% |
| Ahmc Health Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Molina Healthcare Of California | $168 | 157% |
| Preferred Health Network | $169 - $1,446 | 158% |
| Interplan | $173 - $1,356 | 162% |
| Asi Flex Ppo W/C | $178 | 167% |
| Athens Administrators | $178 | 167% |
| Indemnity W Comp Fee Schedule | $178 | 167% |
| Multiplan | $178 - $1,537 | 167% |
| Pacificare | $178 - $445 | 167% |
| Altamed Health Services Corporation | $181 | 169% |
| Care 1St M Cal | $181 | 169% |
| Crown City Medical Group Inc | $181 | 169% |
| Garfield Medical Center | $181 | 169% |
| Physician Healthways | $181 - $452 | 169% |
| Universal Care M Cal/Advantage Health Network | $181 | 169% |
| Cigna | $241 | 226% |
| Employee Health Systems Medical Group | $362 | 339% |
| Global Care Medical Group Ipa | $362 - $814 | 339% |
| Healthnet/Ehs Capitation | $362 | 339% |
| Health Net Of California | $400 - $1,081 | 374% |
| Hispanic Physicians Ipa Medical Corporation | $452 | 423% |
| Ahmc Reciprocity Agreement Senior/Commercial | $542 | 507% |
| Allied Physicians Ipa | $542 | 507% |
| Community Health Plan M Cal Joy Ipa | $542 | 507% |
| Tenet Reciprocity | $542 | 507% |
| Healthcare Partners Affiliates Medical Group | $645 | 604% |
| Molina Medical Centers | $705 | 660% |
| Central Health Plan Of California | $723 | 677% |
| One Health Plan | $775 - $1,085 | 726% |
| Corvel Corporation | $925 - $1,446 | 866% |
| Universal Care | $1,000 - $1,250 | 936% |
| Care 1St Health Plan | $1,085 | 1016% |
| Greater Los Angeles Dialysis Inc | $1,085 | 1016% |
| Choice Care Network | $1,175 | 1100% |
| Healthnet | $1,175 | 1100% |
| Bce Emergis Corp | $1,537 | 1439% |
| Commercial Non Contract | $1,808 | 1693% |
| Mri/Ct Greater El Monte Hospital | $1,808 | 1693% |
| Mri/Mra/Alhambra Hospital | $1,808 | 1693% |
| Mri/Mra/Eladh | $1,808 | 1693% |
| One Legacy | $1,808 | 1693% |