CMS Price Transparency Data

Ultrasound, pelvis

Facility: George C Grape Community Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$245
about 2.3× the $107 Medicare rate · typically $94–$550
modeled estimate · not a bill or quote
What this hospital charges insurers
$374
Above the fair price
about $129 over the fair price · 3.5× Medicare
Medicare pays $107 Fair price $245 This hospital $374 Cash price $731 Hospital's list price $812

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 $374

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 $245 (about 2.3× the $107 Medicare rate). George C Grape Community Hospital charges insurers about $374, or about $731 in cash — above the fair price. Located in Hamburg, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $245. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $178 167%
Blue Cross Blue Shieldmajor $374 - $412 350%
Aetnamajor $755 707%
Cignamajor $788 738%
Humanamajor $406 380%
+ 1 smaller / regional plan $771

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 2959 Us Highway 275, Hamburg, IA 51640
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals