CMS Price Transparency Data

Ultrasound, pelvis

Facility: Southern Regional Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$128

about 1.2× the $107 Medicare rate · typically $100–$216

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

Below the fair price — a good deal

about $21 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $128 This hospital $107 Cash price $104 Hospital's list price $1,198

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 $107

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 $128 (about 1.2× the $107 Medicare rate). Southern Regional Medical Center charges insurers about $107, or about $104 in cash — below the fair price — a good deal. Located in Riverdale, 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	$104	97%
Blue Cross Blue Shieldmajor	$104 - $126	97%
Aetnamajor	$104 - $1,198	97%
Cignamajor	$104 - $218	97%
Humanamajor	$99 - $207	93%
CareSource	$107 - $183	100%
Devoted Health	$107	100%
Oscar Health	$136	127%
WellCare	$110	103%
+ 8 smaller / regional plans	$104 - $157

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

Excludes 6 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 104), 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 Southern Regional Medical Center 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 Southern Regional Medical Center

Compare: Ultrasound, pelvis at other GA hospitals

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