CMS Price Transparency Data

Ultrasound, pelvis

Facility: Dorminy Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$342
about 3.2× the $107 Medicare rate · typically $147–$399
modeled estimate · not a bill or quote
What this hospital charges insurers
$362
About the fair price
about $20 over the fair price · 3.4× Medicare
Medicare pays $107 Fair price $342 This hospital $362 Cash price $372 Hospital's list price $744

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $44 Priciest $362

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

A fair price for a Ultrasound, pelvis is about $342 (about 3.2× the $107 Medicare rate). Dorminy Medical Center charges insurers about $362, or about $372 in cash — about the fair price. Located in Fitzgerald, GA.

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 $91 - $647 85%
Blue Cross Blue Shieldmajor $91 - $362 85%
Aetnamajor $91 - $595 85%
Cignamajor $654 612%
Humanamajor $91 - $654 85%
UniCare $669 626%
+ 3 smaller / regional plans $632 - $669
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 200 Perry House Road, Box 1447, Fitzgerald, GA 31750
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals