CMS Price Transparency Data

Ultrasound, pelvis

Facility: Medstar Georgetown University Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$274
about 2.6× the $107 Medicare rate · typically $141–$282
modeled estimate · not a bill or quote
What this hospital charges insurers
$357
Above the fair price
about $83 over the fair price · 3.3× Medicare
Medicare pays $107 Fair price $274 This hospital $357 Cash price $782 Hospital's list price $1,203

How we calculate the fair BaseRate →

How this hospital compares to other DC hospitals

One of the lower prices — 1 of 3 other DC hospitals charge more for the same procedure.

Cheapest $114 Priciest $367

Black dot = this hospital, among the 4 DC hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, pelvis is about $274 (about 2.6× the $107 Medicare rate). Medstar Georgetown University Hospital charges insurers about $357, or about $782 in cash — above the fair price. Located in Washington, DC.

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 $274. 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.

5 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 $124 - $519 116%
Blue Cross Blue Shieldmajor $124 - $471 116%
Aetnamajor $127 - $355 119%
Cignamajor $732 685%
Humanamajor $130 122%
Amerigroup $357 334%
AmeriHealth $357 334%
+ 2 smaller / regional plans $130 - $357
Government programs also on file: Military & VA.
Excludes 3 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: 3800 Reservoir Rd, Washington, DC 20007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals