CMS Price Transparency Data

Ultrasound, pelvis

Facility: University of Illinois Hospital and Clinics

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $107
  • Cash Discount Price: $554
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at University of Illinois Hospital and Clinics is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $554. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 1740 West Taylor St Suite 1400, Chicago, IL.
Cash / Self-Pay
$554

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $554 (519%)
Insurance Median: $107 (100%)
Cash: $554 (519% of Medicare)
Ins. Median: $107 (100% 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Molina $26 - $176 24%
Coventry $32 - $105 30%
Aetna $33 - $180 31%
Health Alliance $33 - $142 31%
Longevity Health Plan $33 - $105 31%
Sinai Medical Group $33 - $105 31%
United $33 - $154 31%
UnitedHealthcare $33 - $105 31%
Zing Health $33 - $107 31%
Clear Springs Health $34 - $108 32%
Union Health Service $34 - $126 32%
Village Md $34 - $131 32%
Wellcare $34 - $110 32%
Uic Physician Group $36 - $116 34%
Blue Cross Blue Shield $40 - $176 37%
Dolton Medical Associates $41 - $131 38%
Mac Neal Health Providers $41 - $131 38%
Mercy Physician Association $41 - $131 38%
Unified Physicians Network $41 - $131 38%
West Suburban Health Providers $41 - $131 38%
Lake County Physician Associates $43 - $137 40%
Northshore Physician Association $43 - $137 40%
Northwest Primary Care Alliance $43 - $137 40%
Southwest Physician Group Ltd $43 - $137 40%
Fox Valey Medicine Ltd $44 - $142 41%
Oak West Primary Care Alliance $44 - $142 41%
Valenz $44 - $140 41%
St Anthony Health Network $47 - $165 44%
Franciscan Hammond Clinic Llc $48 - $169 45%
Campus Care $49 - $158 46%
Healthsmart $49 - $158 46%
Physician Care Network Inc $49 - $172 46%
The Alliance $49 - $158 46%
Healthlink $51 - $345 48%
Cigna $52 - $169 49%
County Care Health Plan $54 - $176 51%
Meridian $54 - $176 51%
Youthcare Healthchoice $54 - $176 51%
Multiplan $69 - $363 65%
Equian $158 - $363 148%
Zelis $158 - $363 148%
Integrated Health Plan $173 - $399 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1740 West Taylor St Suite 1400, Chicago, IL 60612
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals