CMS Price Transparency Data

Ultrasound, pelvis

Facility: Casa Colina Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$135
about 1.3× the $107 Medicare rate · typically $125–$190
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $135 Hospital's list price $108

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $54 - $134 51%
Blue Cross Blue Shieldmajor $64 - $134 60%
Aetnamajor $54 - $161 51%
Cignamajor $288 270%
Humanamajor $54 - $134 51%
Kaiser Permanentemajor $107 - $134 100%
Health Net $44 - $134 41%
WellCare $134 125%
+ 25 smaller / regional plans $43 - $168
Government programs also on file: Medicaid, Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals