CMS Price Transparency Data

Ultrasound, pelvis

Facility: Franciscan Health Crawfordsville

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$442

about 4.1× the $107 Medicare rate · typically $136–$442

modeled estimate · not a bill or quote

What this hospital charges insurers

$427

About the fair price

about $15 under the fair price · 4.0× Medicare

Medicare pays $107 Fair price $442 This hospital $427 Cash price $436 Hospital's list price $1,607

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

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

Cheapest $31 Priciest $427

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

A fair price for a Ultrasound, pelvis is about $442 (about 4.1× the $107 Medicare rate). Franciscan Health Crawfordsville charges insurers about $427, or about $436 in cash — about the fair price. Located in Crawfordsville, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$1,008	944%
Blue Cross Blue Shieldmajor	$267 - $507	250%
Aetnamajor	$1,138	1065%
UniCare	$507	475%
+ 4 smaller / regional plans	$245 - $1,286

Government programs also on file: Medicare, Medicaid.

Excludes 1 rental-network / third-party entry (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 436), 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 Franciscan Health Crawfordsville 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 Franciscan Health Crawfordsville

Compare: Ultrasound, pelvis at other IN hospitals

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