CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mercy Specialty Hospital Southeast Kansas

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $176
  • Cash Discount Price: $554
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Mercy Specialty Hospital Southeast Kansas is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $554. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.65x the Medicare baseline. Located in 1619 K 66, Galena, KS.
Cash / Self-Pay
$554

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $554 (519%)
Insurance Median: $176 (165%)
Cash: $554 (519% of Medicare)
Ins. Median: $176 (165% 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 $40 - $102 37%
Blue Cross Blue Shield $60 - $102 56%
Humana $61 - $104 57%
Aetna $61 - $102 57%
Provider Partners Health Plans Contracted [320450] $65 61%
First Health Contracted [320128] $69 65%
UnitedHealthcare $91 - $788 85%
Elara Caring Aspire Hospice [20433] $102 95%
Medical Associates Health Contracted [320444] $102 95%
Cross Timbers Hospice [20098] $102 95%
Halo Hcr Inc Hospice [20432] $102 95%
Mercy Hospice Okc [20252] $102 95%
Qual Choice Contracted [320325] $102 95%
Kindful Hospice Contracted [320434] $102 95%
Halo Hcr Inc Hospice Contracted [320432] $102 95%
Tricare $102 95%
Mercy Mgd Behavioral Health Contracted [320259] $102 95%
Kindful Hospice [20434] $102 95%
Globalhealth Contracted [320145] $102 95%
Pace Of The Ozarks Contracted [320518] $102 95%
Cherokee Nation Health Serv Contracted [320066] $102 95%
Medicare (plans) $102 95%
Cigna $102 - $467 95%
Centivo Contracted [320505] $104 97%
Dept Of Veteran Affairs Contracted [320106] $104 97%
United Medical Resources Contracted [320454] $155 - $295 145%
Providrs Care Network Contracted [320484] $197 184%
Benefit Management Contracted [320052] $295 276%
Healthscope Contracted [320182] $295 - $639 276%
Health Systems Inc Contracted [320174] $295 276%
Point C Contracted [320238] $295 - $639 276%
Insurance System Inc Contracted [320465] $295 276%
Medica Contracted [320239] $310 290%
Show-Me Health Administrators Contracted [320483] $389 364%
Mercy Benefit Admin Contracted [320251] $389 - $596 364%
Aither Health Contracted [320449] $596 558%
Ebms Contracted [320493] $596 558%
American Healthcare Alliance Contracted [320020] $596 558%
Reflect Health Contracted [320492] $596 558%
Edison Health Solutions Contracted [320502] $596 558%
Imagine 360 Contracted [320494] $596 558%
Yuzu Health Contracted [320521] $596 558%
Auxiant Contracted [320462] $596 - $639 558%
Preferred Health Plan Contracted [320522] $639 598%
Healthlink Contracted [320179] $639 598%
Federal Medical Center Contracted [320127] $639 598%
Compcare Of The Ozarks Contracted [320437] $673 630%
Workers Comp [20426] $682 639%
Private Health Care Systems Contracted [320320] $788 738%
Multiplan [20270] $809 757%
Multiplan Contracted [320270] $809 757%

Consumer Guidance & Cost Commentary

For the ultrasound of the pelvis (CPT 76856) at Mercy Specialty Hospital Southeast Kansas, the facility's cash price of $554.00 is significantly lower than the gross charge of $852.00, offering a potential savings for patients with high-deductible plans who may not have insurance coverage. While the facility's cash rate is higher than the state average of $554.00, it remains well below the gross charges and the negotiated rates paid by major payers like UnitedHealthcare, which range from $91 to $788 depending on the plan. Patients should verify their specific insurance coverage, as many commercial plans negotiate rates between $60 and $389 for this service, which can be lower than the cash price if the patient's deductible has not yet been met. It is also important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still confirm their network status to avoid unexpected costs.

To ensure you receive the most accurate and fair billing, we recommend requesting a full itemized bill that details every CPT code and service rendered, as summary bills often obscure errors or unbundled charges. If you are paying out-of-pocket, ask the billing department about prompt-pay discounts, which can reduce the $554.00 cash price by 20% to 50% if settled within 30 days. Additionally, compare the facility's negotiated rates against the Medicare benchmark of $106.81; commercial rates for this procedure typically range from 1.6 times the Medicare amount up to 6 times that figure

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1619 K 66, Galena, KS 66739
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals