CMS Price Transparency Data

Ultrasound, pelvis

Facility: University Of Kansas Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $220
  • Cash Discount Price: $282
  • vs. Medicare Baseline: 2.06x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at University Of Kansas Hospital is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.06x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$282

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

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: $282 (264%)
Insurance Median: $220 (206%)
Cash: $282 (264% of Medicare)
Ins. Median: $220 (206% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 206% of the Medicare baseline (a markup of 106%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Larned State Hospital [503200090] $84 - $748 79%
Hchsync Centrus Health Direct [503999916] $86 - $887 81%
Aetna $98 - $137 92%
Workers Comp [503999901] $98 - $2,408 92%
Ku Athletics [503200094] $98 92%
Devoted [503200068] $98 92%
Medicare (plans) $98 - $100 92%
Lasso Healthcare [503999926] $98 92%
Triwest [503201703] $98 92%
UnitedHealthcare $98 - $156 92%
Humana $98 - $100 92%
Tricare $98 92%
Blue Cross Blue Shield $101 - $1,946 95%
Allwell [503200078] $101 95%
American Health Plans [503200968] $102 95%
Oscar [503201609] $117 110%
Centurion [5032000966] $127 119%
Health Plan Inc [503999941] $134 - $1,191 125%
Accarent Health [503999034] $143 - $1,268 134%
Alt Carelon Behavioral Health [503200905] $143 - $1,268 134%
Wellfit [503301514] $161 151%
Centivo [5032000982] $161 151%
Ambetter / Centene $166 155%
6 Degrees Health [503999050] $171 - $244 160%
Allied National [503999937] $172 - $1,521 161%
Php [503200005] $172 - $1,873 161%
Healthlink [503200007] $173 - $1,873 162%
Cerner [503200038] $173 - $1,536 162%
Med-Pay [503200040] $173 - $1,536 162%
Alt Wppa [5032000964] $173 - $1,536 162%
Inter-Americas Insurance [503999032] $173 - $1,536 162%
Geha [503200036] $173 - $1,536 162%
First Health [5032000110] $188 - $1,671 176%
Aha-Healthcare Preferred [503200050] $188 - $1,671 176%
Coeur Plan Services [503301517] $200 - $1,774 187%
Consolidated Billing [50311256] $200 - $1,774 187%
Correct Care Solutions [50311253] $200 - $1,774 187%
Ascension Living Hope [503201517] $200 - $1,774 187%
Occunet [503999930] $205 192%
Fort Hays State Student Athletes [5032000960] $205 192%
Orscheln Industries [503201608] $214 - $1,901 200%
Empire Plan/Nyship [503200705] $220 - $1,946 206%
Alt Lineco [5032000976] $220 - $1,946 206%
Alt Lucent Health Solutions [503202603] $220 - $1,946 206%
Cigna $229 - $2,028 214%
Quiktrip [5032000412] $229 - $2,028 214%
Century Health Solutions [503200054] $229 - $2,028 214%
Point Comfort Underwriters [503200018] $229 - $2,028 214%
Meritain Health [503200039] $240 - $2,129 225%
Wppa [503200056] $240 - $2,129 225%
Plan Care America [503999026] $257 - $2,282 241%
Employers Health Network [503999025] $257 - $2,282 241%
Usa Managed Care [503999030] $257 - $2,282 241%
Three Rivers Provider Network [503999029] $257 - $2,282 241%
Sanford Health Plan [503999027] $257 - $2,282 241%
Multiplan [503200057] $264 247%
Claimdoc [503301509] $264 247%
Advanced Medical Pricing Solutions [503301513] $293 274%

Consumer Guidance & Cost Commentary

For the ultrasound of the pelvis at University Of Kansas Hospital, the cash price is $282, which is significantly lower than the facility's negotiated rates for most commercial payers. While the hospital's cash price is lower than the average negotiated rate of $220 reported for this procedure in the region, patients with high-deductible plans should consider paying cash directly, as the insurance negotiated rates for many carriers range from $84 to over $2,000. The facility offers a prompt-pay discount for upfront payment, which can further reduce the final amount owed. It is important to request a self-pay classification before scheduling to ensure the cash rate applies and to avoid automatic claims submission that would void the discount.

The facility's pricing is benchmarked against Medicare, which sets a baseline rate of $106.81 for this service. The hospital's cash price of $282 represents a markup of 2.1 times the Medicare rate, which is consistent with the commercial pricing structure where negotiated rates often average 200% to 300% of Medicare. To ensure you are receiving the most accurate billing, always request an itemized bill that lists specific CPT codes rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled charges or services not rendered. If you receive a balance bill for out-of-network ancillary services, you may be eligible for protections under the No Surprises Act, which prohibits balance billing for emergency care and non-emergency services at in-network facilities.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals