CMS Price Transparency Data

Ultrasound, pelvis

Facility: Wichita County Health Center

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$167
about 1.6× the $107 Medicare rate · typically $109–$444
modeled estimate · not a bill or quote
What this hospital charges insurers
$569
Well above the fair price
about $402 over the fair price · 5.3× Medicare
Medicare pays $107 Fair price $167 This hospital $569 Cash price $455 Hospital's list price $569

How we calculate the fair BaseRate →

How this hospital compares to other KS hospitals

Highest price of the 9 KS hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $569

Black dot = this hospital, among the 9 KS hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, pelvis is about $167 (about 1.6× the $107 Medicare rate). Wichita County Health Center charges insurers about $569, or about $455 in cash — well above the fair price. Located in Leoti, KS.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $167. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $569 533%
Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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