CMS Price Transparency Data

Ultrasound, pelvis

Facility: Harrison County Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $95
Cash Discount Price: $439
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Harrison County Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.89x the Medicare baseline. Located in 245 Atwood Street, Corydon, IN.

Cash / Self-Pay

$439

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $439 (411%)

Insurance Median: $95 (89%)

Cash: $439 (411% of Medicare)

Ins. Median: $95 (89% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$21 - $361	20%
Tricare	$29 - $243	27%
Aetna	$30 - $942	28%
Blue Cross Blue Shield	$31 - $681	29%
Buckeye Exchange-All Plans	$31 - $435	29%
Caresource Mcaid Hip	$31 - $264	29%
Caresource Mcr Adv	$31 - $264	29%
Mdwise Mcaid Hip	$31 - $264	29%
Mhs Exchange-All Other Plans	$31 - $264	29%
Mhs Mcaid Hip	$31 - $264	29%
Mhs Mcr Adv	$31 - $266	29%
Passport Mcr Adv	$31 - $264	29%
Communicare Adv-All Plans	$32 - $269	30%
Caresource Exchange-All Other Plans	$33 - $343	31%
Siho Exchange	$34 - $272	32%
Siho One Southern	$34 - $628	32%
Siho Ppo/Hmo - All Other Plans	$34 - $1,005	32%
Encore Encircle	$47 - $1,005	44%
Encore Ppo - All Other Plans	$47 - $1,130	44%
Cigna	$53 - $1,130	50%
Sagamore-All Plans	$53 - $1,005	50%
Caresource Mcaid Hhw	$63 - $95	59%
Mdwise Mcaid Hhw/Hcc - All Other Plans	$63 - $95	59%
Mhs Mcaid Hhw/Hcc	$63 - $95	59%
Passport Mcaid-All Other Plans	$95 - $264	89%
Beech Street Comm-All Plans	$177 - $1,068	166%
First Health-All Plans	$177 - $1,068	166%
Multiplan-All Plans	$187 - $1,130	175%
Humana	$264 - $839	247%
Passport Mcaid Beh Hlth	$314	294%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $439.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Harrison County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.