CMS Price Transparency Data
Ultrasound, pelvis
Facility: Valor Health
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$198
about 1.9× the $107 Medicare rate · typically $78–$335
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $198 Cash price $601 Hospital's list price $633
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 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 | $297 - $585 | 278% |
| Blue Cross Blue Shieldmajor | $297 - $1,898 | 278% |
| Aetnamajor | $297 - $528 | 278% |
| Cignamajor | $572 - $584 | 536% |
| Humanamajor | $297 - $620 | 278% |
| Moda Health | $601 | 563% |
| Molina | $297 | 278% |
| PacificSource | $312 - $601 | 292% |
| SelectHealth | $601 | 563% |
Government programs also on file: Military & VA.
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Other Procedures at Valor Health
Compare: Ultrasound, pelvis at other ID hospitals
- Teton Valley Hospital · Driggs $29
- Clearwater Valley Hospital & Clinics · Orofino $60
- St Mary's Hospital · Cottonwood $60
- Boundary Community Hospital · Bonners Ferry $64
- Saint Alphonsus Regional Medical Center · Boise $77
- Kootenai Health · Coeur D'Alene $87
- Eastern Idaho Regional Medical Center · Idaho Falls $103
- Madison Memorial Hospital · Rexburg $103
Insurance negotiated median for the same procedure, sorted lowest first.