CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mountains Community Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$116
about 1.1× the $107 Medicare rate · typically $82–$323
modeled estimate · not a bill or quote
What this hospital charges insurers
$161
Above the fair price
about $45 over the fair price · 1.5× Medicare
Medicare pays $107 Fair price $116 This hospital $161 Cash price $388 Hospital's list price $969

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 $161

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 $116 (about 1.1× the $107 Medicare rate). Mountains Community Hospital charges insurers about $161, or about $388 in cash — above the fair price. Located in Lake Arrowhead, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $116. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente UnitedHealthcareHumana

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
Blue Cross Blue Shieldmajor $153 - $227 143%
Aetnamajor $465 - $678 435%
Cignamajor $678 635%
Kaiser Permanentemajor $68 - $620 64%
Health Net $781 731%
Molina $436 408%
+ 1 smaller / regional plan $727
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 29101 Hospital Road, Lake Arrowhead, CA 92352
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals