CMS Price Transparency Data
Ultrasound, pelvis
Facility: Central Florida Lake Monroe Hospital
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$907
about 8.5× the $107 Medicare rate · typically $146–$1,049
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $907 Cash price $5,102 Hospital's list price $5,102
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
3 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser 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 | $245 - $2,296 | 229% |
| Aetnamajor | $1,531 | 1433% |
| Humanamajor | $1,020 | 955% |
| AvMed | $1,224 - $2,551 | 1146% |
| Molina | $969 - $1,633 | 907% |
| + 6 smaller / regional plans | $367 - $4,592 |
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Central Florida Lake Monroe Hospital
Compare: Ultrasound, pelvis at other FL hospitals
- Cleveland Clinic Indian River Hospital · Vero Beach $45
- H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. · Tampa $48
- Sarasota Memorial Hospital · Sarasota $70
- Doctors Memorial Hospital Inc · Perry $93
- Cleveland Clinic Martin North Hospital · Stuart $98
- Palm Beach Gardens Medical Center · Palm Beach Gardens $98
- Cleveland Clinic Hospital · Weston $103
- Palmetto General Hospital · Hialeah $105
Insurance negotiated median for the same procedure, sorted lowest first.