Ultrasound, pelvis
Facility: University Of Kansas Hospital
Billing Code: 76856 (CPT)
- CPT Billing Code: 76856
- Insurance Median: $220
- Cash Discount Price: $282
- vs. Medicare Baseline: 2.06x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
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.