CMS Price Transparency Data

Ultrasound, pelvis

Facility: Wichita County Health Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $519
  • Cash Discount Price: $455
  • vs. Medicare Baseline: 4.86x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Wichita County Health Center is $519. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $455. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.86x the Medicare baseline. Located in 211 E Earl Street, Leoti, KS.
Cash / Self-Pay
$455

Average discount available for prompt cash payment at this facility.

Insurance Median
$519

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: $455 (426%)
Insurance Median: $519 (486%)
Cash: $455 (426% of Medicare)
Ins. Median: $519 (486% 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 486% of the Medicare baseline (a markup of 386%). 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
Medicaid / KanCare $469 439%
UnitedHealthcare $569 533%

Consumer Guidance & Cost Commentary

For the pelvic ultrasound procedure (CPT 76856) at Wichita County Health Center in Leoti, Kansas, the facility's cash median price of $455.00 is notably lower than the state average of $519.00 and the county average of $569.00. While Medicaid / KanCare members pay the full negotiated rate of $469.00 due to a single plan contract, UnitedHealthcare members pay the same amount. For patients with high-deductible plans or those without insurance, paying the cash price of $455.00 directly can be more cost-effective than relying on insurance, as the negotiated rate of $519.00 exceeds the cash price. It is important to verify your specific plan's deductible status before scheduling, as paying the full negotiated rate may not be covered until that threshold is met.

To ensure you are receiving the best possible rate, we recommend asking the facility about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is still wise to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. By comparing the facility's cash rate against the Medicare benchmark of $106.81, you can see that the commercial pricing reflects standard market dynamics rather than an inflated chargemaster, but confirming the exact breakdown of your specific bill remains the most effective way to avoid unexpected costs

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 E Earl Street, Leoti, KS 67861
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals