CMS Price Transparency Data

Ultrasound, pelvis

Facility: Coalinga Regional Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$113
about 1.1× the $107 Medicare rate · typically $78–$261
modeled estimate · not a bill or quote
What this hospital charges insurers
$97
Below the fair price — a good deal
about $16 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $113 This hospital $97 Cash price $821 Hospital's list price $1,368

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 $97

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, pelvis is about $113 (about 1.1× the $107 Medicare rate). Coalinga Regional Medical Center charges insurers about $97, or about $821 in cash — below the fair price — a good deal. Located in Coalinga, CA.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor $97 - $274 91%
Aetnamajor $1,163 1089%
Cignamajor $958 897%
Health Net $97 - $356 91%
+ 1 smaller / regional plan $356
Government programs also on file: Medicaid.
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

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Facility Profile & Credentials

  • Address: 1191 Phelps Avenue, Coalinga, CA 93210
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals