CMS Price Transparency Data

Ultrasound, pelvis

Facility: Lower Keys Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$107
about 1.0× the $107 Medicare rate · typically $97–$178
modeled estimate · not a bill or quote
What this hospital charges insurers
$177
Above the fair price
about $70 over the fair price · 1.7× Medicare
Medicare pays $107 Fair price $107 This hospital $177 Cash price $469 Hospital's list price $1,591

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $45 Priciest $177

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

A fair price for a Ultrasound, pelvis is about $107 (about 1.0× the $107 Medicare rate). Lower Keys Medical Center charges insurers about $177, or about $469 in cash — above the fair price. Located in Key West, FL.

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 $107. 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 $62 - $1,694 58%
Blue Cross Blue Shieldmajor $115 - $1,884 108%
Aetnamajor $683 - $1,538 639%
Cignamajor $577 - $1,300 540%
Humanamajor $115 - $165 108%
Amerigroup $177 166%
AvMed $832 - $1,872 779%
Molina $181 169%
Simply Healthcare $177 - $683 166%
WellCare $177 166%
+ 12 smaller / regional plans $115 - $2,203
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 5 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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals