CMS Price Transparency Data

Ultrasound, pelvis

Facility: Hancock Regional Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $761
  • Cash Discount Price: $761
  • vs. Medicare Baseline: 7.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Hancock Regional Hospital is $761. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $761. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.12x the Medicare baseline. Located in 801 N State St, Greenfield, IN.
Cash / Self-Pay
$761

Average discount available for prompt cash payment at this facility.

Insurance Median
$761

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: $761 (712%)
Insurance Median: $761 (712%)
Cash: $761 (712% of Medicare)
Ins. Median: $761 (712% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 712% of the Medicare baseline (a markup of 612%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $63 - $710 59%
Mhs/Mdwise Mcaid-All Plans $63 59%
UnitedHealthcare $63 - $737 59%
Iu Health Mcr Adv $111 104%
Triwest - All Plans $111 104%
Va Ccn - All Plans $111 104%
Caresource Mcr Adv $113 106%
Beech Street Mcr Adv $114 107%
Humana $114 - $903 107%
Allwell Mcr Adv - All Plans $116 109%
Communicare Mcr Adv - All Plans $116 109%
Ambetter / Centene $221 207%
Caresource Comm - All Other Plans $277 259%
Iu Health-All Other Plans $304 285%
Ascension - All Plans $713 668%
Aetna $723 - $951 677%
Cigna $761 712%
Encore Encircle $761 712%
Hancock Phys Network-All Plans $761 712%
Unified Group Services- All Plans $761 712%
Advantage Self Funded Ppo-All Other Plans $780 730%
Healthmark/Healthchoice-All Plans $780 730%
Sagamore-All Plans $780 730%
Encore-All Other Plans $808 756%
Consumers Life-All Plans $837 784%
St Vincent Cmo-All Plans $837 784%
Siho-All Plans $856 801%
Great West-All Plans $875 819%
Savility - All Plans $875 819%
Cofinity/Ppom - All Plans $884 828%
First Health/Coventry-All Plans $894 837%
Mail Handlers-All Plans $894 837%
Golden Rule Ins-All Plans $903 845%
Indiana Health Network-All Plans $903 845%
Phcs-All Plans $903 845%
Beech Street Ppo - All Other Plans $913 855%
Comm Hlth Alliance - All Plans $922 863%
Multiplan-All Plans $932 873%
Advantage Preferred Plus $951 890%
Healthy Indiana Plan-All Plans $951 890%
Copps - All Plans $1,959 1834%
Pro Health - All Plans $2,853 2671%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 N State St, Greenfield, IN 46140
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals