CMS Price Transparency Data

Ultrasound, pelvis

Facility: Ascension Sacred Heart Bay

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $110
Cash Discount Price: $1,713
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Ascension Sacred Heart Bay is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,713. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.03x the Medicare baseline. Located in 615 N Bonita Ave, Panama City, FL.

Cash / Self-Pay

$1,713

Average discount available for prompt cash payment at this facility.

Insurance Median

$110

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: $1,713 (1604%)

Insurance Median: $110 (103%)

Cash: $1,713 (1604% of Medicare)

Ins. Median: $110 (103% 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.

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
Blue Mcr Replacement	$107	100%
Facility Billing - Op	$107	100%
Medicare (plans)	$107	100%
Wellcare	$107	100%
Healthspring Mcr Replacement	$108 - $109	101%
UnitedHealthcare	$108 - $236	101%
Aetna	$110 - $239	103%
Humana	$110	103%
Smarthealth	$149	140%
Encompass Health Rehabilitation	$160	150%
Oscar Health Plan	$171	160%
Ambetter / Centene	$176	165%
Occunet	$197 - $240	184%
Cigna	$2,356	2206%

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 $1,713.
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 Ascension Sacred Heart Bay 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.