CMS Price Transparency Data

Ultrasound, pelvis

Facility: Orange City Area Health System

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$102
about 1.0× the $107 Medicare rate · typically $71–$347
modeled estimate · not a bill or quote
What this hospital charges insurers
$65
Below the fair price — a good deal
about $37 under the fair price · 0.6× Medicare
Medicare pays $107 Fair price $102 This hospital $65 Cash price $164 Hospital's list price $205

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 IA hospitals compared.

Cheapest $31 Priciest $77

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 $102 (about 1.0× the $107 Medicare rate). Orange City Area Health System charges insurers about $65, or about $164 in cash — below the fair price — a good deal. Located in Orange City, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $43 - $282 40%
Blue Cross Blue Shieldmajor $59 - $303 55%
HealthPartners $62 - $282 58%
Sanford Health Plan $62 - $297 58%
+ 1 smaller / regional plan $51 - $304
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1000 Lincoln Circle Se, Orange City, IA 51041
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals