CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mercyone Newton Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $364
  • Cash Discount Price: $598
  • vs. Medicare Baseline: 3.41x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Mercyone Newton Medical Center is $364. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $598. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.41x the Medicare baseline. Located in 204 N 4Th Ave E, Newton, IA.
Cash / Self-Pay
$598

Average discount available for prompt cash payment at this facility.

Insurance Median
$364

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $598 (560%)
Insurance Median: $364 (341%)
Cash: $598 (560% of Medicare)
Ins. Median: $364 (341% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 341% of the Medicare baseline (a markup of 241%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $99 - $862 93%
Medicare (plans) $99 - $103 93%
Blue Cross Blue Shield $100 - $107 94%
UnitedHealthcare $101 - $524 95%
Blue Benefit Administrators Of Massachusetts $107 100%
Blue Care Network $107 100%
Blue Distinction Transplant $107 100%
Blue Shield - Ca $107 100%
Blue Shield - Id (Regence) $107 100%
Blue Shield - Ny Highmark Northeastern $107 100%
Blue Shield - Ny Highmark Western $107 100%
Blue Shield - Pa (Highmark) $107 100%
Blue Shield - Wa (Regence) $107 100%
Iowa Total Care $121 113%
Medicaid / KanCare $122 114%
Amish Hospital Aid $134 125%
Oscar $143 134%
Centivo $146 137%
Ambetter / Centene $170 159%
Claimdoc $203 190%
Nova $203 190%
Geha $524 491%
Newton Correctional Facility $598 560%
Health Choices $695 651%
Medical Associates $695 651%
Health Partners $811 759%
Auxiant $846 792%
Cigna $846 792%
Health Alliance $846 792%
Medica $846 792%
Midlands $846 792%
Midlands Choice $846 792%
1199 National Benefit Fund $862 807%
Allied Benefit Systems $862 807%
Asr Health Benefits $862 807%
Christian Brother Services $862 807%
Coventry $862 807%
First Health $862 807%
Lucent Health $862 807%
Luminare Health $862 807%
Medical Mutual $862 807%
Meritain $862 807%
Trustmark Small Business Benefits $862 807%
Webtpa $862 807%
Crime Victim Assistance $920 861%
Iowa Dept Of Public Health $920 861%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals