CMS Price Transparency Data

Ultrasound, pelvis

Facility: Saint John Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $103
  • Cash Discount Price: $98
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Saint John Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.96x the Medicare baseline. Located in 3500 South 4Th Street, Leavenworth, KS.
Cash / Self-Pay
$98

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $98 (92%)
Insurance Median: $103 (96%)
Cash: $98 (92% of Medicare)
Ins. Median: $103 (96% 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
Medicaid / KanCare $60 56%
Blue Cross Blue Shield $63 - $133 59%
UnitedHealthcare $91 - $138 85%
Healthy Blue $93 - $103 87%
Celtic $93 - $158 87%
Tricare $98 92%
Cigna $98 92%
Medicare (plans) $98 92%
Aetna $98 - $138 92%
Midland Care Connection $98 92%
Kansas Superior Select $100 94%
Comp Alliance Workers Comp $112 105%
Oha Networks $121 113%
Worker Compensation $125 117%
Employer Direct Healthcare $138 129%
Well Path $138 129%
Corizon $138 129%
Centurion $148 139%
Naphcare $153 143%

Consumer Guidance & Cost Commentary

For the ultrasound procedure on the pelvis at Saint John Hospital in Leavenworth, KS, the facility's cash price of $98.00 is significantly lower than the average amount paid by insurance plans, which ranges from $60 to $158 depending on the carrier. While the hospital's negotiated rates with major payers like Blue Cross Blue Shield and UnitedHealthcare fall between $63 and $138, the cash price serves as a useful benchmark for patients with high-deductible plans who may find paying out-of-pocket more cost-effective than waiting for insurance to cover the service. It is important to note that the facility's cash rate is also lower than the Medicare benchmark of $106.81, suggesting that the base cost of this service is well below the federal standard, though commercial insurance contracts often include administrative overhead that inflates the final allowed amount.

Patients should be aware that while Saint John Hospital is a voluntary non-profit acute care facility, the final amount you owe depends heavily on your specific insurance plan and whether you qualify for prompt-pay discounts. If you choose to pay cash upfront, you may be eligible for a discount that could further reduce the $98.00 base price, bypassing the administrative costs and claim processing fees that typically add 20% to 40% to the negotiated rate. Before scheduling, it is advisable to confirm with the hospital's billing department whether they offer self-pay or prompt-pay rates and to request a waiver of insurance submission to ensure you are not automatically billed the higher negotiated amount. Always verify the exact allowed amount with your insurer, as some plans may pay less than the cash price even when the service is covered.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3500 South 4Th Street, Leavenworth, KS 66048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals