CMS Price Transparency Data

Ultrasound, pelvis

Facility: University Hospital and Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $1,468
Cash Discount Price: $5,646
vs. Medicare Baseline: 13.74x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at University Hospital and Medical Center is $1,468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,646. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.74x the Medicare baseline. Located in 7201 N University Dr, Tamarac, FL.

Cash / Self-Pay

$5,646

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,468

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: $5,646 (5286%)

Insurance Median: $1,468 (1374%)

Cash: $5,646 (5286% of Medicare)

Ins. Median: $1,468 (1374% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1374% of the Medicare baseline (a markup of 1274%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
United	$245 - $2,541	229%
Freedom Health	$486 - $903	455%
Optimum	$486	455%
Avmed	$734 - $2,823	687%
Simply Healthcare Plans	$734	687%
Molina	$1,073 - $1,524	1005%
Corvel Corporation	$1,138	1065%
Careworks (Rockport)	$1,162	1088%
Prime Health	$1,162	1088%
Humana	$1,186 - $1,920	1110%
Health Sun Health Plan	$1,203	1126%
Mmm Of Fl (Health Advantage Plan)	$1,299	1216%
United Ppo	$1,338	1253%
Sunshine State Health Plan	$1,491	1396%
Aetna	$1,694	1586%
Plotkin Health	$2,823	2643%
Prime Health Sherriff	$2,823	2643%
Medica Healthcare	$3,275	3066%
Multiplan	$4,235 - $4,799	3965%
Evernorth Bh	$4,517	4229%

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 $5,646.
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 University Hospital and Medical Center 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.