CMS Price Transparency Data

Ultrasound, pelvis

Facility: Macneal Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$126
about 1.2× the $107 Medicare rate · typically $111–$200
modeled estimate · not a bill or quote
What this hospital charges insurers
$127
About the fair price
about $1 over the fair price · 1.2× Medicare
Medicare pays $107 Fair price $126 This hospital $127 Hospital's list price $1,655

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $64 Priciest $127

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, pelvis is about $126 (about 1.2× the $107 Medicare rate). Macneal Hospital charges insurers about $127 — about the fair price. Located in Berwyn, IL.

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 $742 - $808 695%
Blue Cross Blue Shieldmajor $19 - $2,292 18%
Aetnamajor $111 - $1,319 104%
Cignamajor $114 - $257 107%
Humanamajor $113 - $582 106%
Ambetter (Centene) $133 125%
Meridian $127 - $163 119%
Molina $116 - $163 109%
Oscar Health $122 114%
WellCare $116 109%
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 3249 South Oak Park Avenue, Berwyn, IL 60402
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals