CMS Price Transparency Data

Ultrasound, pelvis

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $115
  • Cash Discount Price: $607
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Cameron Memorial Community Hospital Inc is $115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $607. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.08x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.
Cash / Self-Pay
$607

Average discount available for prompt cash payment at this facility.

Insurance Median
$115

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: $607 (568%)
Insurance Median: $115 (108%)
Cash: $607 (568% of Medicare)
Ins. Median: $115 (108% 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
Blue Cross Blue Shield $63 - $632 59%
Caresource Indiana Of In $63 - $372 59%
Managed Health Services $63 - $97 59%
Mdwise $63 - $97 59%
Aetna $64 - $874 60%
Cigna $64 - $873 60%
Corvel $64 - $940 60%
Encore $64 - $931 60%
Humana $64 - $873 60%
Phcs $64 - $758 60%
Plain Church Group Ministry $64 - $394 60%
Sagamore Health Network $64 - $781 60%
UnitedHealthcare $66 - $797 62%
Signature Care $69 - $890 65%
Coventry $77 - $890 72%
Lucent $90 - $550 84%
Centivo $100 - $550 94%
Frontpath $119 - $930 111%
Php $126 - $767 118%
Three Rivers Preferred $144 - $14,400 135%
Lutheran Preferred $154 - $910 144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 416 E Maumee St, Angola, IN 46703
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals