CMS Price Transparency Data

Ultrasound, pelvis

Facility: Johnson Memorial Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$64
about 0.6× the $107 Medicare rate · typically $54–$104
modeled estimate · not a bill or quote
What this hospital charges insurers
$73
About the fair price
about $9 over the fair price · 0.7× Medicare
Medicare pays $107 Fair price $64 This hospital $73 Cash price $274 Hospital's list price $284

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.

⚠ 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 $64 (about 0.6× the $107 Medicare rate). Johnson Memorial Hospital charges insurers about $73, or about $274 in cash — about the fair price. Located in Stafford Springs, CT.

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 - $1,045 19%
Blue Cross Blue Shieldmajor $20 - $273 19%
Aetnamajor $20 - $264 19%
Cignamajor $20 - $815 19%
Humanamajor $20 - $110 19%
Kaiser Permanentemajor $46 - $273 43%
Ambetter (Centene) $20 - $67 19%
Clover Health $33 - $110 31%
Dean Health Plan $867 812%
GEHA $179 168%
Harvard Pilgrim $72 - $234 67%
Health Net $20 - $245 19%
HealthPartners $20 - $593 19%
MagnaCare $593 555%
Meridian $20 - $110 19%
Molina $20 - $67 19%
MVP Health Care $867 812%
Paramount $20 - $867 19%
Presbyterian $20 - $110 19%
Tufts Health Plan $20 - $248 19%
UniCare $54 - $273 51%
WellMed $33 - $110 31%
WellSense $20 - $67 19%
+ 373 smaller / regional plans $20 - $888
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.

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Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals