CMS Price Transparency Data

Ultrasound, pelvis

Facility: Sheridan County Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $187
  • Cash Discount Price: $309
  • vs. Medicare Baseline: 1.75x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Sheridan County Hospital is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $309. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.75x the Medicare baseline. Located in 826 18Th Street, Hoxie, KS.
Cash / Self-Pay
$309

Average discount available for prompt cash payment at this facility.

Insurance Median
$187

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: $309 (289%)
Insurance Median: $187 (175%)
Cash: $309 (289% of Medicare)
Ins. Median: $187 (175% 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 $183 171%
Celtic Insurance $187 175%
UnitedHealthcare $294 275%

Consumer Guidance & Cost Commentary

For this pelvic ultrasound at Sheridan County Hospital in Hoxie, Kansas, the cash price is $309.00, which matches the facility's cash median. While the hospital is in-network for three major payers, their negotiated rates range from $183 to $294, meaning the cash price is actually the highest amount a patient would pay out-of-pocket for this service. It is important to note that for patients with high-deductible plans, paying the cash price of $309.00 upfront can sometimes be cheaper than having insurance cover the service, especially if the insurer's negotiated rate exceeds the cash price or if the patient has not yet met their deductible. Since the facility is a Critical Access Hospital with government-local ownership, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling to potentially lower the final cost.

The Medicare benchmark for this procedure is $106.81, which serves as a baseline for evaluating the facility's pricing markup. The gross charge of $309.00 is significantly higher than the Medicare amount, reflecting the standard administrative and service costs included in commercial billing. While the data does not provide a specific county or state average for comparison, the median negotiated rate across payers is $187.00, which is lower than the cash price. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though unexpected charges can still occur if ancillary services like labs are out-of-network. To ensure accuracy, consumers should request a full itemized bill rather than accepting a summary invoice, as this allows them to

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 826 18Th Street, Hoxie, KS 67740
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals