CMS Price Transparency Data

Ultrasound, pelvis

Facility: Deaconess Illinois Crossroads

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $111
  • Cash Discount Price: $515
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Deaconess Illinois Crossroads is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $515. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$515

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $515 (482%)
Insurance Median: $111 (104%)
Cash: $515 (482% of Medicare)
Ins. Median: $111 (104% 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
Aetna $30 - $1,848 28%
Blue Cross Blue Shield $30 - $1,111 28%
Humana $30 - $1,825 28%
Meridian Health Plan $30 - $111 28%
Molina Healthcare Of Illinois $30 - $112 28%
Mytru Advantage $30 - $111 28%
Umwa $30 - $111 28%
UnitedHealthcare $30 - $1,357 28%
Wellcare $30 - $111 28%
Deaconess Onecare $40 - $1,287 37%
Alliance Coal $42 - $183 39%
Alter-Net Medical Services, Inc. $49 - $819 46%
Noncontracted $49 - $177 46%
Self-Pay $80 - $515 75%
Cigna $89 - $910 83%
Care Improvement Plus $113 106%
Prime Health Services $172 - $1,754 161%
Guardian Resources, Inc. $192 - $1,965 180%
Healthcare'S Finest Network (Hfn) $195 - $1,988 183%
Medicalcontrol Network Solutions $195 - $1,988 183%
National Provider Network $195 - $1,988 183%
Three Rivers Provider Network $199 - $2,035 186%
Beech Street $202 - $2,059 189%
Hope Trust $316 - $819 296%
Wexford Health Sources $1,053 - $1,638 986%
Encore Prime/Elite/Elite + $1,284 - $1,326 1202%
Encore Combined $1,427 - $1,474 1336%
Great West Healthcare Of Illinois $1,754 1642%
Multiplan - Primary Network - Phcs $1,836 1719%
Healthlink $1,871 - $1,988 1752%
Coventry Healthcare $1,970 1844%
First Health $1,970 1844%
Multiplan - Complementary Network $1,998 1871%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals