CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mercyone Centerville Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$60
about 0.6× the $107 Medicare rate · typically $60–$179
modeled estimate · not a bill or quote
What this hospital charges insurers
$76
Above the fair price
about $16 over the fair price · 0.7× Medicare
Medicare pays $107 Fair price $60 This hospital $76 Hospital's list price $254

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

On the higher side — 7 of 8 other IA hospitals charge less.

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 $60 (about 0.6× the $107 Medicare rate). Mercyone Centerville Medical Center charges insurers about $76 — above the fair price. Located in Centerville, 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 $60. 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.

6 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 $30 - $920 28%
Blue Cross Blue Shieldmajor $30 - $264 28%
Aetnamajor $30 - $862 28%
Cignamajor $30 - $902 28%
Humanamajor $30 - $156 28%
Kaiser Permanentemajor $58 - $186 54%
Ambetter (Centene) $34 - $448 32%
Clover Health $30 - $95 28%
GEHA $65 - $662 61%
Health Net $34 - $300 32%
HealthPartners $34 - $885 32%
Medica $902 844%
Medical Mutual $862 807%
Meridian $30 - $95 28%
Molina $34 - $85 32%
Oscar Health $55 - $174 51%
Paramount $34 - $85 32%
Presbyterian $30 - $95 28%
Sanford Health Plan $52 - $169 49%
Tufts Health Plan $34 - $85 32%
UCare $55 - $186 51%
WellMed $30 - $95 28%
WellSense $34 - $85 32%
+ 362 smaller / regional plans $30 - $920
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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.

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Facility Profile & Credentials

  • Address: One St Joseph's Drive, Centerville, IA 52544
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals