CMS Price Transparency Data

Ultrasound, pelvis

Facility: Glenn Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $1,172
Cash Discount Price: $781
vs. Medicare Baseline: 10.97x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Glenn Medical Center is $1,172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $781. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.97x the Medicare baseline. Located in 1133 W Sycamore St, Willows, CA.

Cash / Self-Pay

$781

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,172

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: $781 (731%)

Insurance Median: $1,172 (1097%)

Cash: $781 (731% of Medicare)

Ins. Median: $1,172 (1097% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1097% of the Medicare baseline (a markup of 997%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medi-Cal	$97	91%
Ca Health And Wellness - All Plans	$108	101%
UnitedHealthcare	$391 - $1,042	366%
Humana	$508	476%
Blue Cross Blue Shield	$513 - $1,172	480%
Blue Shield Exch	$1,055	988%
Cigna	$1,107	1036%
First Health - All Plans	$1,107	1036%
Healthnet - All Plans	$1,107	1036%
Beech Street - All Plans	$1,172	1097%
Blue Shield Ppo/Hmo - All Other Plans	$1,172	1097%
Dept Of Corrections - All Plans	$1,172	1097%
Galaxy Health Network - All Plans	$1,172	1097%
Interplan - All Plans	$1,172	1097%
Pacific Health Alliance - All Plans	$1,172	1097%
Pponext - All Plans	$1,172	1097%
Superior Ca Ppo - All Plans	$1,172	1097%
Integrated Hp - All Plans	$1,211	1134%
Health Mgmt Network - All Plans	$1,237	1158%
Networks By Design - All Plans	$1,237	1158%
Three Rivers - All Plans	$1,237	1158%

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 $781.
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 Glenn 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.