CMS Price Transparency Data

Ultrasound, pelvis

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $77
  • Cash Discount Price: $259
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Saint Alphonsus Regional Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $259. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.72x the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.
Cash / Self-Pay
$259

Average discount available for prompt cash payment at this facility.

Insurance Median
$77

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $259 (242%)
Insurance Median: $77 (72%)
Cash: $259 (242% of Medicare)
Ins. Median: $77 (72% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $21 - $303 20%
Aetna $26 - $648 24%
Albany County Correctional Facility $26 - $64 24%
Ambetter / Centene $26 - $64 24%
Amish Mennonite $26 - $64 24%
Ascension St. Vincent Public Safety Medical $26 - $64 24%
Bcccp-Michigan $26 - $64 24%
Bccp $26 - $64 24%
Blue Cross Blue Shield $26 - $492 24%
Bmc Healthnet $26 - $64 24%
Breast Grant-Connecticut $26 - $64 24%
Broward County Dept Of Health $26 - $64 24%
California Health And Wellness $26 - $64 24%
Can Community Health Inc $26 - $64 24%
Cardinal Innovations Lme $26 - $64 24%
Care Connections Of Northern Iowa $26 - $64 24%
Care Oregon Ohp $26 - $64 24%
Cencal Health Plan $26 - $64 24%
Cenpatico $26 - $64 24%
Centurion Of Idaho $26 - $81 24%
Chhuny $26 - $64 24%
Childrens Comm Health Plan $26 - $64 24%
Childrens Medical Services Title 19 $26 - $64 24%
Cigna $26 - $603 24%
City Of Philadelphia $26 - $64 24%
Cmh Allegan County $26 - $64 24%
Cmh Ausable Valley $26 - $64 24%
Cmh Barry County $26 - $64 24%
Cmh Bay-Arenac County $26 - $64 24%
Cmh Berrien County $26 - $64 24%
Cmh Cass County $26 - $64 24%
Cmh Central Mi County $26 - $64 24%
Cmh Clinton-Eaton-Ingham County $26 - $64 24%
Cmh Detroit Wayne Integrated Health Network $26 - $64 24%
Cmh Genesee County $26 - $64 24%
Cmh Ionia County $26 - $64 24%
Cmh Jackson County/Lifeways $26 - $64 24%
Cmh Kalamazoo $26 - $64 24%
Cmh Kent County $26 - $64 24%
Cmh Lenawee County $26 - $64 24%
Cmh Livingston County $26 - $64 24%
Cmh Macomb $26 - $64 24%
Cmh Misc $26 - $64 24%
Cmh Monroe County $26 - $64 24%
Cmh Montcalm County $26 - $64 24%
Cmh Muskegon County $26 - $64 24%
Cmh Newaygo County $26 - $64 24%
Cmh North Country $26 - $64 24%
Cmh Northern Lakes County $26 - $64 24%
Cmh Oakland County $26 - $64 24%
Cmh Ottawa County $26 - $64 24%
Cmh Van Buren County $26 - $64 24%
Cmh Washtenaw County $26 - $64 24%
Cmh Wayne County/Carelink $26 - $64 24%
Cmh Wayne Cty/Com Liv Svcs $26 - $64 24%
Cmh West Mi County $26 - $64 24%
Community Benefit Health $26 - $64 24%
Community Care Behavorial Health $26 - $64 24%
Community Care Partners $26 - $64 24%
Community Health Choice $26 - $64 24%
Connections Csp $26 - $64 24%
County Coroner $26 - $64 24%
County Funding Generic $26 - $64 24%
Covid19 Hrsa Uninsured Testing And Treatment Fund $26 - $64 24%
Dean Wi Badgercare $26 - $64 24%
Delaware County Department Of Health $26 - $64 24%
Delaware First Health $26 - $64 24%
Delta Dental Nj $26 - $64 24%
Dph Tb Program $26 - $64 24%
Dscc $26 - $64 24%
Eastpointe Lme $26 - $64 24%
Family Health Network $26 - $64 24%
Freedom First Healthcare $26 - $64 24%
Fresno County Ccs $26 - $64 24%
Ghc Scw Wi Badgercare $26 - $64 24%
Harbor Health $26 - $64 24%
Health Safety Net $26 - $64 24%
Healthy Blue Ne $26 - $64 24%
Hennepin Health $26 - $64 24%
Humana $26 - $706 24%
Id County Ada $26 - $81 24%
Id County Canyon $26 - $81 24%
Id County Cat Fund $26 - $81 24%
Id County Other $26 - $64 24%
Id County Payette $26 - $81 24%
Idaho Dept Health And Wellfare $26 - $81 24%
Idaho Womens Health Check $26 - $64 24%
Indiana Breast Cervical Cancer $26 - $64 24%
Inland Empire Health Plan $26 - $64 24%
Intercommunity Health Ohp $26 - $64 24%
Iowa Total Care $26 - $64 24%
Jai Medical System $26 - $64 24%
Kern Family Health Plan $26 - $64 24%
Keystone First $26 - $64 24%
Keystone First Chip $26 - $64 24%
La Care Health Plan $26 - $64 24%
Lakeland Care Inc $26 - $64 24%
Managed Health Services - Indiana $26 - $64 24%
Maryland Breast & Cervical Program $26 - $64 24%
Maryland Healthy Smiles - Scion Dental $26 - $64 24%
Maryland Physicians Care $26 - $64 24%
Massachusetts Behavioral Health Partnership $26 - $64 24%
Mdwise $26 - $64 24%
Medi-Cal $26 - $64 24%
Medi-Cal Healthnet $26 - $64 24%
Medstar Dc Healthy Family $26 - $64 24%
Medstar Md Health Choice $26 - $64 24%
Mo Home State Health Plan $26 - $64 24%
Molina Centennial Care $26 - $64 24%
Nascentia Health Options $26 - $64 24%
Nebraska Total Care $26 - $64 24%
New York Cancer Services Program $26 - $64 24%
Nextlevel Health $26 - $64 24%
Oregon Screenwise $26 - $69 24%
Pace Of Southwest Michigan $26 - $76 24%
Paramount Advantage $26 - $64 24%
Parkland Community Health Plan $26 - $64 24%
Partners Behavioral Lme $26 - $64 24%
Peach State Healthplan $26 - $64 24%
Philadelphia County Funding $26 - $64 24%
Presbyterian Centennial Care $26 - $64 24%
Prestige Health Choice $26 - $64 24%
Priority Partners $26 - $64 24%
Robert F Sing Program $26 - $64 24%
Rx 340B Pass Along $26 - $64 24%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $26 - $64 24%
Rx Medi-Cal $26 - $64 24%
Rx Meridian Rx $26 - $64 24%
Ryan White Florida Mssrp $26 - $64 24%
Sandhills Center Lme $26 - $64 24%
Screening For Life $26 - $64 24%
St Joseph County Hlth Dpt $26 - $64 24%
Stephenson Cty Health $26 - $64 24%
Sunshine State Health Plan $26 - $64 24%
Superior Health $26 - $64 24%
Tenncare $26 - $64 24%
Texas Children'S Health Plan $26 - $64 24%
Trillium Community Ohp $26 - $303 24%
Tufts Health Public Plans $26 - $64 24%
UnitedHealthcare $26 - $706 24%
Vaya Health Lme $26 - $64 24%
Washtenaw Health Plan $26 - $64 24%
Wellsense Health Plan $26 - $64 24%
Wi Womens Wellness $26 - $64 24%
Align Senior Care $30 - $76 28%
Ally Align Care Adv $30 - $76 28%
American Health Plan $30 - $76 28%
Aurora Special Needs $30 - $76 28%
Blue Care Network Advantage $30 - $76 28%
Blue Shield - De (Highmark) Medciare Advantage $30 - $76 28%
Care Dimensions $30 - $76 28%
Care Improvement Plus $30 - $76 28%
Care Resources Pace $30 - $76 28%
Careplus Health Plans $30 - $76 28%
Cca - Zing Health $30 - $76 28%
Cca Senior Care Options $30 - $76 28%
Central Valley Medical Services Corp Pace $30 - $76 28%
Champion Health Plan Mcr Advantage $30 - $76 28%
Champva $30 - $75 28%
Clear Spring Health $30 - $76 28%
Clover Health $30 - $76 28%
Commonwealth Care Alliance $30 - $76 28%
Community Pace At Home $30 - $76 28%
Eddy Senior Care-Pace $30 - $76 28%
Eddy Seniorcare Pace $30 - $76 28%
Elementcare $30 - $76 28%
Evercare $30 - $76 28%
Everence $30 - $76 28%
Gateway Health Plan $30 - $76 28%
Genesys Pace Of Genesee County $30 - $76 28%
Georgia Health Advantage $30 - $76 28%
Gold Advantage $30 - $76 28%
Gpa Croell Redi Mix $30 - $76 28%
Health America Advantra $30 - $76 28%
Highmark Health Options Dual Plan $30 - $76 28%
Hope Select Pace $30 - $76 28%
Horizon Nj Total Care $30 - $76 28%
Hudson Headwaters Pace $30 - $76 28%
Huron Valley Pace $30 - $76 28%
Innovative Integrated Health Community Plans $30 - $76 28%
Iowa Health Advantage $30 - $76 28%
Johns Hopkins Advantage Md $30 - $76 28%
Lasso Healthcare Msa $30 - $76 28%
Life St Marys Pace $30 - $76 28%
Lifecircles Pace $30 - $76 28%
Longevity Health Plan $30 - $76 28%
Longevity Ipa Of Michigan Llc Health Plan Isnp $30 - $76 28%
Martins Point Generations Advantage $30 - $76 28%
Mass General Brigham Mcr Adv $30 - $76 28%
Medicare (plans) $30 - $116 28%
Medipak Advantage $30 - $76 28%
Mercy Life $30 - $76 28%
Mercyone Cedar Valley $30 - $76 28%
Meridian Complete $30 - $76 28%
Michigan Complete Health $30 - $76 28%
Nascentia Health Plus $30 - $76 28%
New Centry Health Careplus $30 - $76 28%
Osu Prime Care Advantage $30 - $76 28%
Pace Cny $30 - $76 28%
Pace Iowa Immanuel Pathways $30 - $76 28%
Pace Southeast $30 - $76 28%
Pace-Trinity Health $30 - $76 28%
Peak Pace Solutions $30 - $76 28%
Perennial Advantage $30 - $76 28%
Preferred Care Partners $30 - $76 28%
Presbyterian Senior Plan $30 - $76 28%
Provider Partners Health Plan Of Illinois $30 - $76 28%
Provider Partners Health Plan Of Indiana $30 - $76 28%
Pruitthealth Premier $30 - $76 28%
Reliance Community Care Partners Care Resources Pace $30 - $76 28%
Rx Allwin $30 - $76 28%
Rx Grane Grnmedd $30 - $76 28%
Rx Retiree Rx Care $30 - $76 28%
Scan Health Plan Mcr Ipa Meritage Oon $30 - $76 28%
Secure Horizons Ma Pffs $30 - $76 28%
Serenity Pace $30 - $76 28%
Siouxland Pace $30 - $76 28%
Solis Health Plans $30 - $76 28%
Sunnyview-Pace Finance Dept $30 - $76 28%
Texan Plus $30 - $76 28%
The Health Plan $30 - $76 28%
Thome Pace $30 - $76 28%
Todays Options $30 - $76 28%
Tribute Health Plans $30 - $76 28%
Tricare $30 - $75 28%
Triwest Health Alliance $30 - $75 28%
Um Health Advantage $30 - $76 28%
Union Health Service $30 - $76 28%
Us Family Health Plan $30 - $75 28%
Veterans Eval Services $30 - $75 28%
Welbe Health $30 - $76 28%
Wellmed $30 - $76 28%
Veterans Administration $31 - $78 29%
American Health Advantage Of Idaho $32 - $115 30%
Meritain $48 - $648 45%
Webtpa $56 - $600 52%
Providence $58 - $603 54%
Molina Marketplace $60 - $266 56%
Bcn Domestic $62 - $492 58%
Blue Benefit Administrators Of Massachusetts $62 - $492 58%
Blue Care Network $62 - $492 58%
Blue Distinction Transplant $62 - $492 58%
Blue Shield - Ca $62 - $492 58%
Blue Shield - Ny Highmark Northeastern $62 - $492 58%
Blue Shield - Ny Highmark Western $62 - $492 58%
Blue Shield - Pa (Highmark) $62 - $492 58%
Blue Shield - Wa (Regence) $62 - $492 58%
Health Choices $62 - $492 58%
Kaiser Domestic $62 - $492 58%
Pre-Employment $62 - $492 58%
Wc Domestic $62 - $492 58%
Pacificsource Health Plans $64 - $515 60%
Asuris Northwest Health $65 - $293 61%
Blue Shield - Id (Regence) $65 - $293 61%
Healthcare Management Admin $65 - $293 61%
Geha $66 - $648 62%
Health Plans Inc $70 - $177 66%
Ms Administrative Services $70 - $177 66%
First Choice Health $78 - $600 73%
Ada County Jail Inmate Ins $81 76%
Selecthealth $81 - $635 76%
Moda Health $82 - $635 77%
Mountain Health Co-Op $82 - $424 77%
Andrie Inc $84 - $206 79%
East Greenbush Central School District $84 - $206 79%
Genex Wc $84 - $206 79%
Healthsmart Workers Comp $84 - $206 79%
Jag Source $84 - $206 79%
New York State Insurance Fund $84 - $206 79%
Njm Insurance Group $84 - $206 79%
Rx Heatlhcomp $84 - $206 79%
Rx Restat $84 - $206 79%
Rx Saif Opdp Wc $84 - $206 79%
Rx Worker'S Comp $84 - $206 79%
Wc Accident Fund $84 - $206 79%
Wc Ace $84 - $206 79%
Wc Acs Federal Employees $84 - $206 79%
Wc Acuity $84 - $206 79%
Wc Advantage $84 - $206 79%
Wc Aegis $84 - $206 79%
Wc Aig $84 - $206 79%
Wc Aims $84 - $206 79%
Wc Alaska National Ins $84 - $206 79%
Wc Align Network $84 - $206 79%
Wc Allied $84 - $206 79%
Wc Am Trust N America $84 - $206 79%
Wc American Claims Mgmt $84 - $206 79%
Wc Amerisure $84 - $206 79%
Wc Amtrust $84 - $206 79%
Wc Asu Risk Mgt $84 - $206 79%
Wc Benetech $84 - $206 79%
Wc Berkley Admin $84 - $206 79%
Wc Broadspire $84 - $206 79%
Wc Broward County $84 - $206 79%
Wc Bunch & Associates $84 - $206 79%
Wc California State Comp Ins $84 - $206 79%
Wc California State Ins Fund $84 - $206 79%
Wc Capitol Area Health Consortium $84 - $206 79%
Wc Ccmsi $84 - $206 79%
Wc Chartis $84 - $206 79%
Wc Chubb $84 - $206 79%
Wc Cirma $84 - $206 79%
Wc City Of Albany $84 - $206 79%
Wc City Of Sioux City $84 - $206 79%
Wc Claims Mgmt Inc $84 - $206 79%
Wc Cna $84 - $206 79%
Wc Comp One Admin C/O Manageability $84 - $206 79%
Wc Compone Admin $84 - $206 79%
Wc Corvel $84 - $206 79%
Wc Ct Healthcare Trust $84 - $206 79%
Wc Donegal Insurance Group $84 - $206 79%
Wc Emc Insurance Company $84 - $206 79%
Wc Employee Mutual $84 - $206 79%
Wc Enablecomp $84 - $206 79%
Wc Encore Health Network $84 - $206 79%
Wc Erie $84 - $206 79%
Wc Esis $84 - $206 79%
Wc Evolutions $84 - $206 79%
Wc Fcci $84 - $206 79%
Wc Fed Ex $84 - $206 79%
Wc Federal Black Lung $84 - $206 79%
Wc Federated $84 - $206 79%
Wc Finley Occupational Health $84 - $206 79%
Wc First Agency/Occunet $84 - $206 79%
Wc Ford Motor $84 - $206 79%
Wc Fresno Unified Emp $84 - $206 79%
Wc Gallagher Bassett $84 - $206 79%
Wc General Motors $84 - $206 79%
Wc Generic $84 - $206 79%
Wc Genex Care For Ohio $84 - $206 79%
Wc Great West Casualty $84 - $206 79%
Wc Guarantee Insurance $84 - $206 79%
Wc Guard Insurance Company $84 - $206 79%
Wc Hab $84 - $206 79%
Wc Hartford $84 - $206 79%
Wc Hastings $84 - $206 79%
Wc Health Management $84 - $206 79%
Wc Heritage Summit $84 - $206 79%
Wc Hireright $84 - $206 79%
Wc Horizon $84 - $206 79%
Wc Icw Group $84 - $206 79%
Wc Idaho State Ins Fund $84 - $206 79%
Wc Intercare Insurance $84 - $206 79%
Wc Intermountain $84 - $206 79%
Wc Johns Eastern $84 - $206 79%
Wc Kemberton $84 - $206 79%
Wc Key Ins & Benefit Solutions $84 - $206 79%
Wc Liberty Mutual $84 - $206 79%
Wc Mac Risk Management $84 - $206 79%
Wc Massachusetts $84 - $206 79%
Wc Mdia $84 - $206 79%
Wc Meadowbrook Claim $84 - $206 79%
Wc Medical Administrators $84 - $206 79%
Wc Meijers $84 - $206 79%
Wc Memic $84 - $206 79%
Wc Mercy Workcare $84 - $206 79%
Wc Michigan $84 - $206 79%
Wc Michigan Millers Mutual $84 - $206 79%
Wc Mitchell Frankenmuth $84 - $206 79%
Wc Mra $84 - $206 79%
Wc Nationwide $84 - $206 79%
Wc Nca Comp $84 - $206 79%
Wc New York $84 - $206 79%
Wc New York Special Funds $84 - $206 79%
Wc North American Rishces $84 - $206 79%
Wc Northeast Health $84 - $206 79%
Wc Notre Dame $84 - $206 79%
Wc Novanet $84 - $206 79%
Wc O'Hara Corp $84 - $206 79%
Wc Occ Health Allen $84 - $206 79%
Wc Ohio Bureau $84 - $206 79%
Wc One Call Medical $84 - $206 79%
Wc Paradigm $84 - $206 79%
Wc Peerless $84 - $206 79%
Wc Pma $84 - $206 79%
Wc Praxis Health Network $84 - $206 79%
Wc Price Chopper $84 - $206 79%
Wc Procura Management $84 - $206 79%
Wc Qualcare $84 - $206 79%
Wc Quiktrip $84 - $206 79%
Wc Reny Company $84 - $206 79%
Wc Rev Claims $84 - $206 79%
Wc Risico $84 - $206 79%
Wc Rural Mutual $84 - $206 79%
Wc Saif Oregon $84 - $206 79%
Wc Secura $84 - $206 79%
Wc Sedgwick $84 - $206 79%
Wc Sentry $84 - $206 79%
Wc Sheakley Unicomp $84 - $206 79%
Wc Smile Lodge $84 - $206 79%
Wc Society $84 - $206 79%
Wc Srs $84 - $206 79%
Wc Taconic (Mro) $84 - $206 79%
Wc Taconic Farms $84 - $206 79%
Wc Travelers $84 - $206 79%
Wc Triad Group $84 - $206 79%
Wc Tristar $84 - $206 79%
Wc Troy Ny $84 - $206 79%
Wc Tyson $84 - $206 79%
Wc Unified Health Services $84 - $206 79%
Wc United Heartland $84 - $206 79%
Wc Us Dept Of Labor $84 - $206 79%
Wc Velocity $84 - $206 79%
Wc Walmart $84 - $206 79%
Wc West Bend $84 - $206 79%
Wc West Bend Mutual/Argent $84 - $206 79%
Wc Winnebago Industries $84 - $206 79%
Wc Yankee Trails $84 - $206 79%
Wc York Risk $84 - $206 79%
Wc Zenith $84 - $206 79%
Wc Zurich $84 - $206 79%
Allegiance $92 - $522 86%
Healthnet $97 - $635 91%
Allied National Global Care $114 - $635 107%
Asrm - Reliance Standard Life Insurance $114 - $635 107%
Christian Care Ministry $114 - $635 107%
Dean Health $114 - $635 107%
Fallon Health $114 - $635 107%
Family Life Insurance Company $114 - $635 107%
Ghc Scw $114 - $635 107%
International Benefit Administrators $114 - $635 107%
Lifetime Benefit Solutions $114 - $635 107%
Manhattan Life $114 - $635 107%
Medi Share $114 - $635 107%
Multiplan $114 - $259 107%
Pai $114 - $635 107%
Pan-American Life $114 - $635 107%
Paramount Hmo $114 - $635 107%
Phcs $114 - $635 107%
Trinity Health Share $114 - $635 107%
Columbia Health Network $515 482%
Employee Benefit Management $600 562%
Priority Health $603 565%
First Health $635 595%
Allied Benefit Systems $648 607%
Ameriben $648 607%
Asr Health Benefits $648 607%
Boon Chapman $648 607%
Christian Brother Services $648 607%
Healthez $648 607%
Luminare Health (Detroit) $648 607%
Rural Carrier Health Benefit Plan $648 607%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1055 North Curtis Road, Boise, ID 83706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals