CMS Price Transparency Data

Ultrasound, pelvis

Facility: University of Colorado Hospital Authority

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $522
Cash Discount Price: $757
vs. Medicare Baseline: 4.89x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at University of Colorado Hospital Authority is $522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $757. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.89x the Medicare baseline. Located in 12605 E 16Th Ave, Aurora, CO.

Cash / Self-Pay

$757

Average discount available for prompt cash payment at this facility.

Insurance Median

$522

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: $757 (709%)

Insurance Median: $522 (489%)

Cash: $757 (709% of Medicare)

Ins. Median: $522 (489% 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 489% of the Medicare baseline (a markup of 389%). 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
UnitedHealthcare	$104 - $713	97%
Aetna	$107 - $507	100%
Blue Cross Blue Shield	$107 - $1,273	100%
Cigna	$107 - $1,124	100%
Cms	$107	100%
Denver Health Medical Plan	$107 - $1,147	100%
Devoted Health	$107	100%
Humana	$107	100%
Kaiser	$107 - $1,271	100%
Select Health	$107 - $276	100%
Simplified Benefits Administration	$242 - $254	227%
Rocky Mountain Health Plan	$706 - $1,104	661%
Kaiser Public Option	$845	791%
Phcs	$1,190	1114%
Multiplan	$1,298	1215%
First Health	$1,515	1418%
Midlands Choice	$1,515	1418%

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 $757.
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 University of Colorado Hospital Authority 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.