CMS Price Transparency Data

Ultrasound, pelvis

Facility: St Francis Hospital & Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$61
about 0.6× the $107 Medicare rate · typically $58–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
Above the fair price
about $12 over the fair price · 0.7× Medicare
Medicare pays $107 Fair price $61 This hospital $73 Hospital's list price $199

How we calculate the fair BaseRate →

How this hospital compares to other CT hospitals

A typical price — 4 charge more and 3 charge less, among the 9 CT hospitals compared.

Cheapest $62 Priciest $117

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

A fair price for a Ultrasound, pelvis is about $61 (about 0.6× the $107 Medicare rate). St Francis Hospital & Medical Center charges insurers about $73 — above the fair price. Located in Hartford, CT.

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 $61. 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.

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 $20 - $208 19%
Blue Cross Blue Shieldmajor $20 - $436 19%
Aetnamajor $20 - $264 19%
Cignamajor $20 - $1,150 19%
Humanamajor $20 - $110 19%
Kaiser Permanentemajor $46 - $436 43%
Ambetter (Centene) $20 - $67 19%
Clover Health $33 - $110 31%
Dean Health Plan $978 916%
GEHA $179 168%
Harvard Pilgrim $72 - $234 67%
Health Net $20 - $245 19%
HealthPartners $20 - $274 19%
MagnaCare $269 - $274 252%
Meridian $20 - $110 19%
Molina $20 - $67 19%
MVP Health Care $978 916%
Paramount $20 - $978 19%
Presbyterian $20 - $110 19%
Tufts Health Plan $20 - $248 19%
UniCare $54 - $436 51%
WellMed $33 - $110 31%
WellSense $20 - $67 19%
+ 372 smaller / regional plans $20 - $1,222
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 15 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

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals