CMS Price Transparency Data
Ultrasound, pelvis
Facility: Story County Hospital
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$248
about 2.3× the $107 Medicare rate · typically $110–$663
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $248 Cash price $543 Hospital's list price $679
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 | $186 - $1,112 | 174% |
| Blue Cross Blue Shieldmajor | $149 - $1,112 | 140% |
| Aetnamajor | $149 - $1,112 | 140% |
| Humanamajor | $149 - $1,112 | 140% |
| HealthPartners | $149 - $1,112 | 140% |
| Molina | $245 - $1,112 | 229% |
| + 1 smaller / regional plan | $245 - $1,112 |
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Other Procedures at Story County Hospital
Compare: Ultrasound, pelvis at other IA hospitals
- Mahaska Health Partnership · Oskaloosa $31
- Mercyone Des Moines Medical Center · Des Moines $34
- Veterans Memorial Hospital · Waukon $48
- Winnmed · Decorah $50
- Iowa Specialty Hospital - Belmond · Belmond $60
- Orange City Area Health System · Orange City $65
- Clarke County Hospital · Osceola $73
- Mercyone Centerville Medical Center · Centerville $76
Insurance negotiated median for the same procedure, sorted lowest first.