CMS Price Transparency Data

Ultrasound, pelvis

Facility: Indiana University Health White Memorial Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$345
about 3.2× the $107 Medicare rate · typically $123–$370
modeled estimate · not a bill or quote
What this hospital charges insurers
$350
About the fair price
about $5 over the fair price · 3.3× Medicare
Medicare pays $107 Fair price $345 This hospital $350 Cash price $218 Hospital's list price $699

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 $350

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 $345 (about 3.2× the $107 Medicare rate). Indiana University Health White Memorial Hospital charges insurers about $350, or about $218 in cash — about the fair price. Located in Monticello, 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 $175 - $557 164%
Blue Cross Blue Shieldmajor $245 - $667 229%
Aetnamajor $249 - $561 233%
Cignamajor $270 - $610 253%
CareSource $245 229%
Health Net $223 - $678 209%
+ 9 smaller / regional plans $225 - $891
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 720 South Sixth St, Monticello, IN 47960
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals