CMS Price Transparency Data

Ultrasound, pelvis

Facility: Saint Anthony Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$141

about 1.3× the $107 Medicare rate · typically $112–$268

modeled estimate · not a bill or quote

What this hospital charges insurers

$111

Below the fair price — a good deal

about $30 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $141 This hospital $111 Cash price $235 Hospital's list price $784

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 $111

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 $141 (about 1.3× the $107 Medicare rate). Saint Anthony Hospital charges insurers about $111, or about $235 in cash — below the fair price — a good deal. Located in Chicago, 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	$111 - $450	104%
Blue Cross Blue Shieldmajor	$111 - $384	104%
Aetnamajor	$111 - $618	104%
Cignamajor	$111 - $412	104%
Humanamajor	$111	104%
Health Net	$254 - $284	238%
HealthLink	$470 - $494	440%
+ 2 smaller / regional plans	$111

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 235), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76856.

Insurance Before you use insurance

Call your insurance company to confirm Saint Anthony Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76856.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Anthony Hospital

Compare: Ultrasound, pelvis at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.