CMS Price Transparency Data

Ultrasound, pelvis

Facility: Holton Community Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$220
about 2.1× the $107 Medicare rate · typically $118–$802
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $220 Cash price $609 Hospital's list price $812

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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 $430 - $812 403%
Blue Cross Blue Shieldmajor $122 114%
Aetnamajor $430 - $812 403%
Humanamajor $435 407%
+ 2 smaller / regional plans $439 - $771
Government programs also on file: Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1110 Columbine Drive, Holton, KS 66436
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals