CMS Price Transparency Data

Ultrasound, pelvis

Facility: Franklin General Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$279
about 2.6× the $107 Medicare rate · typically $100–$524
modeled estimate · not a bill or quote
What this hospital charges insurers
$318
About the fair price
about $39 over the fair price · 3.0× Medicare
Medicare pays $107 Fair price $279 This hospital $318 Cash price $733 Hospital's list price $814

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 $318

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 $279 (about 2.6× the $107 Medicare rate). Franklin General Hospital charges insurers about $318, or about $733 in cash — about the fair price. Located in Hampton, 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✓ Aetna CignaHumanaKaiser 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 $326 - $676 305%
Blue Cross Blue Shieldmajor $303 - $329 284%
Aetnamajor $757 - $773 709%
Ambetter (Centene) $340 - $521 318%
Amerigroup $329 - $344 308%
Molina $339 - $345 317%
Oscar Health $488 457%
+ 7 smaller / regional plans $326 - $692
Government programs also on file: Military & VA.
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: 1720 Central Avenue East, Hampton, IA 50441
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals