CMS Price Transparency Data

Ultrasound, pelvis

Facility: Kiowa District Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $333
  • Cash Discount Price: $282
  • vs. Medicare Baseline: 3.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Kiowa District Hospital is $333. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.12x the Medicare baseline. Located in 1002 South 4Th Street, Kiowa, KS.
Cash / Self-Pay
$282

Average discount available for prompt cash payment at this facility.

Insurance Median
$333

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: $282 (264%)
Insurance Median: $333 (312%)
Cash: $282 (264% of Medicare)
Ins. Median: $333 (312% 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 312% of the Medicare baseline (a markup of 212%). 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
Blue Cross Blue Shield $122 114%
Tricare $137 128%
Healthchoice-All Plans $224 210%
UnitedHealthcare $282 - $352 264%
Health Partners Of Ks-All Plans $310 290%
Humana $318 298%
Gbs Insurance - All Plans $331 310%
Multiplan-All Plans $331 310%
Triwest-All Plans $334 313%
Aetna $334 313%
Medicare (plans) $334 313%
Medicaid / KanCare $352 330%
Providers Care (Wppa)-All Plans $528 494%
Liberty Healthshare-All Plans $568 532%

Consumer Guidance & Cost Commentary

For the ultrasound of the pelvis at Kiowa District Hospital, the cash price is $282.00, which is lower than the facility's negotiated rates with most major payers. While the median negotiated rate across all insurers is $331.00, some plans like Blue Cross Blue Shield and Tricare pay exactly $122.00 and $137.00 respectively, indicating significant variation in how different insurance contracts are structured. Patients with high-deductible plans may find it financially advantageous to pay the cash price of $282.00 directly, as this amount is lower than the average negotiated rate of $333.00 and significantly below the gross charge of $352.00. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket might result in a lower total cost than having insurance process the claim first.

The facility, a Critical Access Hospital in Kiowa, KS, offers a cash-pay rate of $282.00, which serves as a baseline for potential savings. If you are concerned about balance billing or unexpected charges, remember that the No Surprises Act protects you from being billed the difference between the hospital's full charge and your insurance allowed amount for emergency services or non-emergency care at in-network facilities. Should you receive a bill that seems incorrect, you have the right to request an itemized audit to review every line item, code, and service rendered, as over 80% of hospital bills contain errors. Always ask the hospital about prompt-pay discounts before check-in, as paying in full upfront can often reduce the final amount further than the cash price listed,

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1002 South 4Th Street, Kiowa, KS 67070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals