CMS Price Transparency Data

Ultrasound, pelvis

Facility: Cheyenne County Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $188
  • Cash Discount Price: $198
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Cheyenne County Hospital is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.76x the Medicare baseline. Located in 210 West 1St Street, St Francis, KS.
Cash / Self-Pay
$198

Average discount available for prompt cash payment at this facility.

Insurance Median
$188

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: $198 (185%)
Insurance Median: $188 (176%)
Cash: $198 (185% of Medicare)
Ins. Median: $188 (176% 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
Blue Cross Blue Shield $122 114%
First Health - All Plans $138 129%
UnitedHealthcare $142 - $215 133%
Aetna $142 - $188 133%
Tricare $142 133%
Healthy Blue Mcr Adv $142 133%
Choice Care - All Plans $144 135%
Firstguard - All Plans $158 148%
Wppa - All Plans $178 167%
Cpm - All Plans $188 176%
Preferred Hc - All Plans $188 176%
Midlands Choice - All Plans $192 180%
Ppo Next - All Plans $194 182%
Health Partners - All Plans $194 182%
Integrated Hp - All Plans $194 182%
Unicare - All Plans $194 182%
Childrens Mercy - All Plans $198 185%
Healthy Blue Mcaid - All Other Plans $198 185%
Healthwave Mcaid - All Plans $198 185%
Providers Care-All Plans $297 278%

Consumer Guidance & Cost Commentary

For the CPT code 76856 (Ultrasound, pelvis), Cheyenne County Hospital's cash price of $198.00 aligns exactly with the facility's median negotiated rate of $198.00 and the cash median across payers. This rate is significantly higher than the Medicare benchmark of $106.81, reflecting a markup of 185% above the federal baseline. While commercial negotiated rates for this service range from $122 to $297 depending on the insurance plan, the facility's cash price remains consistent at $198.00. Given that the county average for this service is not explicitly provided in the data, patients should note that paying cash upfront may still be advantageous if their insurance plan's negotiated rate exceeds the cash price, as the facility offers no additional discount for self-pay beyond the listed amount.

Patients should verify whether "self-pay" or "prompt-pay" discounts are available before scheduling, as these programs can reduce costs by 20% to 50% for upfront payments. Although the facility is a Voluntary non-profit Critical Access Hospital located in St Francis, KS, and does not list a specific facility rating, the absence of a rating does not preclude the availability of these financial assistance options. To ensure you are receiving the most accurate pricing, request an itemized billing audit to confirm that all charges correspond to services rendered and that no unbundled codes or errors have inflated the total. Always confirm your deductible status and whether the facility is truly in-network for your specific plan, as in-network status does not guarantee the lowest possible price.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 West 1St Street, St Francis, KS 67756
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals