CMS Price Transparency Data

Ultrasound, pelvis

Facility: Boone County Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$273
about 2.6× the $107 Medicare rate · typically $133–$557
modeled estimate · not a bill or quote
What this hospital charges insurers
$311
About the fair price
about $38 over the fair price · 2.9× Medicare
Medicare pays $107 Fair price $273 This hospital $311 Cash price $555 Hospital's list price $693

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 $311

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 $273 (about 2.6× the $107 Medicare rate). Boone County Hospital charges insurers about $311, or about $555 in cash — about the fair price. Located in Boone, IA.

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 $284 - $407 266%
Blue Cross Blue Shieldmajor $296 277%
Aetnamajor $291 - $541 272%
Humanamajor $284 - $624 266%
Amerigroup $287 269%
Meridian $312 292%
+ 7 smaller / regional plans $284 - $658
Government programs also on file: Medicaid, 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: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals