CMS Price Transparency Data

Ultrasound, pelvis

Facility: Ucf Lake Nona Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$754

about 7.0× the $107 Medicare rate · typically $143–$1,035

modeled estimate · not a bill or quote

Medicare pays $107 Fair price $754 Cash price $5,108 Hospital's list price $5,108

How we calculate the fair BaseRate →

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 - $2,298	229%
Aetnamajor	$1,532	1434%
Humanamajor	$1,430	1339%
AvMed	$409 - $2,554	383%
Molina	$970 - $1,379	908%
+ 4 smaller / regional plans	$787 - $4,597

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 5,108), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76856.

Insurance Before you use insurance

Call your insurance company to confirm Ucf Lake Nona Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76856.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Ucf Lake Nona Hospital

Compare: Ultrasound, pelvis at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.