Ultrasound, pelvis
Facility: Ascension Via Christi Hospitals Wichita, Inc.
Billing Code: 76856 (CPT)
- CPT Billing Code: 76856
- Insurance Median: $99
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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.
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 |
|---|---|---|
| Medicare (plans) | $98 - $100 | 92% |
| Via Christi Research | $98 | 92% |
| Humana | $98 | 92% |
| Saint Lukes Health Systems | $98 | 92% |
| Vc Hope | $98 | 92% |
| Va | $98 | 92% |
| UnitedHealthcare | $100 - $275 | 94% |
| Blue Cross Blue Shield | $100 | 94% |
| Corizon | $123 | 115% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Coventry City Of Wichita | $231 | 216% |
| Aetna | $245 | 229% |
Consumer Guidance & Cost Commentary
For the CPT code 76856 (Ultrasound, pelvis) at Ascension Via Christi Hospitals Wichita, Inc., the facility's negotiated rates range from $98 to $275 across 13 payers, with a median negotiated amount of $99.00. This facility is located in Wichita, KS (ZIP 67214), and its pricing data is based on the 2026-06 vintage. While specific cash and median paid values are not available in the current dataset, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs if the insurance negotiated rate exceeds the cash price, particularly for those with high-deductible plans. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final bill by bypassing administrative claim processing fees.
When evaluating costs, it is important to compare rates against the Medicare benchmark rather than the facility's inflated chargemaster list. The Medicare amount for this procedure is $106.81, which serves as a scientifically validated baseline for "true" healthcare delivery costs. Commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% above this benchmark. If a patient receives care from an out-of-network provider or encounters unexpected ancillary services, they may face balance billing for the difference between the provider's full rate and the insurance allowed amount. To avoid surprise bills, patients should request a full itemized CPT-coded bill before paying and dispute any errors in writing, as over 80% of hospital bills contain mistakes such as double