CMS Price Transparency Data

Ultrasound, pelvis

Facility: CHI Health Mercy Council Bluffs

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$272
about 2.5× the $107 Medicare rate · typically $171–$319
modeled estimate · not a bill or quote
What this hospital charges insurers
$250
About the fair price
about $22 under the fair price · 2.3× Medicare
Medicare pays $107 Fair price $272 This hospital $250 Cash price $472 Hospital's list price $1,123

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

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

Cheapest $31 Priciest $250

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

A fair price for a Ultrasound, pelvis is about $272 (about 2.5× the $107 Medicare rate). CHI Health Mercy Council Bluffs charges insurers about $250, or about $472 in cash — about the fair price. Located in Council Bluffs, IA.

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✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 - $517 97%
Blue Cross Blue Shieldmajor $104 97%
Humanamajor $104 97%
Ambetter (Centene) $101 - $168 95%
Amerigroup $101 - $109 95%
Medica $104 - $584 97%
Molina $103 96%
+ 11 smaller / regional plans $104 - $674
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 800 Mercy Drive, Council Bluffs, IA 51503
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals