CMS Price Transparency Data

Ultrasound, pelvis

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $330
  • Cash Discount Price: $412
  • vs. Medicare Baseline: 3.09x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Satanta District Hospital, Clinics, & Ltcu is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $412. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.09x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$412

Average discount available for prompt cash payment at this facility.

Insurance Median
$330

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: $412 (386%)
Insurance Median: $330 (309%)
Cash: $412 (386% of Medicare)
Ins. Median: $330 (309% 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 309% of the Medicare baseline (a markup of 209%). 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
Direct Benefit-All Plans $110 103%
UnitedHealthcare $133 - $458 125%
Berkley Net-All Plans $183 171%
Trustmark Health Benefits-All Plans $202 189%
Aetna $202 - $311 189%
Meritain Health-All Plans $206 193%
Ambetter / Centene $220 206%
Axa Equitable - All Plans $252 236%
Pinnacol-All Plans $256 240%
Medi-Share-All Plans $261 244%
Presbyterian-All Plans $279 261%
Kasb Work Comp - All Plans $293 274%
The Kempton Group Admin-All Plans $316 296%
Auxiant - All Plans $321 301%
Gpha(Wppa)-All Other Plans $321 301%
Wppa- All Plans $325 304%
Sisco-All Plans $330 309%
Emc-All Plans $330 309%
Providers Care Network- All Plans $330 309%
Gpha Employee Benefit Plan $334 313%
Employee Benefit-All Plans $344 322%
Regional Care(Wppa)-All Plans $344 322%
Triangle-All Plans $348 326%
First Health -All Plans $348 326%
One Call Physician-All Plans $353 330%
Blue Cross Blue Shield $362 339%
Tricare $366 343%
Christian Hospital Aid - All Plans $366 343%
Humana $394 369%
Cigna $403 377%
Luminare Health- All Plans $403 377%
Coresource-All Plans $412 386%
Deseret Mutual(Uhis)-All Plans $412 386%
Vaccn-All Plans $421 394%
Wps Vapc-All Plans $435 407%
Hma Llc-All Plans $435 407%
Reserve National-All Plans $435 407%
Medicaid / KanCare $458 429%

Consumer Guidance & Cost Commentary

For the ultrasound procedure on the pelvis at Satanta District Hospital, the cash price is $412.00, which is lower than the facility's median negotiated rate of $330.00 paid by most commercial insurers. This price transparency data shows that while the facility's gross charge is $458.00, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as many commercial payers negotiate rates that exceed the cash amount. The facility, a Critical Access Hospital in Satanta, KS, offers a prompt-pay discount for upfront payments, which can further reduce the final bill by bypassing administrative claim processing fees and collection costs.

The Medicare benchmark for this service is $106.81, providing a clear baseline for evaluating the facility's pricing structure. While the cash price of $412.00 is significantly higher than the Medicare rate, it remains below the gross charge and aligns with the median negotiated rate of $330.00 observed across the 38 payers listed. Patients should verify their specific plan details before scheduling, as some in-network members may face higher out-of-pocket costs if their deductible has not been met or if ancillary services trigger balance billing protections under the No Surprises Act. Always request a self-pay classification and prompt-pay discount prior to check-in to ensure you receive the most favorable rate available.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals