CMS Price Transparency Data

Ultrasound, pelvis

Facility: Memorial Hospital and Manor

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$106

about 1.0× the $107 Medicare rate · typically $106–$128

modeled estimate · not a bill or quote

What this hospital charges insurers

$106

About the fair price

1.0× Medicare

Medicare pays $107 Fair price $106 This hospital $106 Cash price $304 Hospital's list price $434

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 $106

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 $106 (about 1.0× the $107 Medicare rate). Memorial Hospital and Manor charges insurers about $106, or about $304 in cash — about the fair price. Located in Bainbridge, 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	$343	321%
Blue Cross Blue Shieldmajor	$335	314%
Aetnamajor	$92 - $391	86%
Cignamajor	$360	337%
Humanamajor	$92 - $347	86%
Ambetter (Centene)	$120	112%
Amerigroup	$273	256%
CareSource	$287	269%
WellCare	$92	86%
+ 3 smaller / regional plans	$147 - $450

Government programs also on file: Medicare, Medicaid, Military & VA.

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 304), 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 Memorial Hospital and Manor 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 Memorial Hospital and Manor

Compare: Ultrasound, pelvis at other GA hospitals

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