CMS Price Transparency Data

Ultrasound, pelvis

Facility: Great Plains Of Sabetha

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $399
  • Cash Discount Price: $420
  • vs. Medicare Baseline: 3.74x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Great Plains Of Sabetha is $399. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $420. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.74x the Medicare baseline. Located in 603 S 14Th Street, Sabetha, KS.
Cash / Self-Pay
$420

Average discount available for prompt cash payment at this facility.

Insurance Median
$399

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: $420 (393%)
Insurance Median: $399 (374%)
Cash: $420 (393% of Medicare)
Ins. Median: $399 (374% 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 374% of the Medicare baseline (a markup of 274%). 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
Celtic Mcr Adv $218 204%
Aetna $221 - $424 207%
Celtic Comm Exchange-All Other Plans $273 256%
Great West Healthcare-All Plans $357 334%
UnitedHealthcare $391 - $420 366%
Cigna $399 374%
Humana $399 374%
Multiplan-Phcs-All Plans $399 374%
Century/Wppa/Providers-All Plans $399 374%
Federated Mutual Ins-All Plans $403 377%
Medicaid / KanCare $420 393%
Blue Cross Blue Shield $420 393%

Consumer Guidance & Cost Commentary

For the ultrasound procedure of the pelvis at Great Plains Of Sabetha in Sabetha, Kansas, the cash price is $420.00, which matches the facility's gross charge and the Medicare benchmark of $106.81. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, the cash rate is significantly higher than the Medicare amount, illustrating how commercial pricing often exceeds federal cost baselines. Patients with high-deductible plans may find paying the full cash price of $420.00 more affordable than using insurance, as the median negotiated rate paid by insurers is $357.00, yet many commercial plans will only cover a portion of this amount after deductibles are met, potentially leaving the patient responsible for a balance that exceeds the cash price.

The data shows a wide range of negotiated rates among 12 payers, with the lowest allowed amount being $218 and the highest at $420.00, indicating that the final out-of-pocket cost depends entirely on the specific insurance plan and its contract terms. Although the facility does not list a specific county or state average for comparison in this dataset, it is important for consumers to verify their specific plan's allowed amount before scheduling, as assuming that being in-network guarantees the lowest price can lead to unexpected costs. To minimize financial risk, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before check-in, as paying the bill in full upfront can sometimes reduce the total amount owed, and they should avoid signing any waivers that waive their rights to dispute out-of-network charges or request an itemized audit of the bill.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 603 S 14Th Street, Sabetha, KS 66534
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals