CMS Price Transparency Data
Ultrasound, pelvis
Facility: Marion Communtiy Hospital
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$879
about 8.2× the $107 Medicare rate · typically $143–$1,030
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $879 Cash price $6,057 Hospital's list price $6,057
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 - $2,744 | 229% |
| Aetnamajor | $1,683 - $1,829 | 1576% |
| Humanamajor | $1,122 - $1,220 | 1050% |
| AvMed | $673 - $1,707 | 630% |
| Molina | $1,066 - $1,951 | 998% |
| + 5 smaller / regional plans | $864 - $5,488 |
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Marion Communtiy 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.