CMS Price Transparency Data

Ultrasound, pelvis

Facility: Franciscan Health Dyer

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$239

about 2.2× the $107 Medicare rate · typically $127–$257

modeled estimate · not a bill or quote

What this hospital charges insurers

$253

About the fair price

about $14 over the fair price · 2.4× Medicare

Medicare pays $107 Fair price $239 This hospital $253 Cash price $350 Hospital's list price $1,298

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 $253

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 $239 (about 2.2× the $107 Medicare rate). Franciscan Health Dyer charges insurers about $253, or about $350 in cash — about the fair price. Located in Dyer, IN.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$876 - $961	820%
Blue Cross Blue Shieldmajor	$186 - $1,025	174%
Aetnamajor	$250	234%
Cignamajor	$909	851%
UniCare	$186 - $352	174%
+ 4 smaller / regional plans	$245 - $1,298

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 350), 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 Dyer 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 Dyer

Compare: Ultrasound, pelvis at other IN hospitals

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