CMS Price Transparency Data

Ultrasound, pelvis

Facility: Trego County Lemke Memorial Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $174
  • Cash Discount Price: $217
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Trego County Lemke Memorial Hospital is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.63x the Medicare baseline. Located in 320 N Thirteenth St, Wakeeney, KS.
Cash / Self-Pay
$217

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

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: $217 (203%)
Insurance Median: $174 (163%)
Cash: $217 (203% of Medicare)
Ins. Median: $174 (163% 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
Humana $125 117%
Tricare $135 126%
Medicaid / KanCare $158 - $255 148%
Va Ccn - All Plans $158 148%
Aetna $158 - $230 148%
UnitedHealthcare $158 - $255 148%
Blue Cross Blue Shield $168 157%
Ambetter / Centene $174 163%
Health Partners - All Plans $242 227%
Healthy Blue Mcaid - All Plans $255 239%

Consumer Guidance & Cost Commentary

For the ultrasound of the pelvis at Trego County Lemke Memorial Hospital, the cash price is $217, which is lower than the facility's negotiated rates for most major payers, including UnitedHealthcare and Aetna. While the facility is a Critical Access Hospital in Wakeeney, KS, the data provided does not include specific county or state average figures for comparison. However, the cash rate of $217 is notably lower than the gross charge of $255 and falls within the range of what Medicaid/KanCare plans pay, with some plans negotiating as high as $255. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the insurance negotiated rates for many carriers exceed this amount.

To maximize savings, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling the procedure, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is crucial to sign a waiver of insurance submission to ensure the hospital processes the account as a cash payment rather than submitting a claim that would trigger a higher negotiated rate. Additionally, if a balance bill arises from out-of-network ancillary services, patients should verify the legality of the charge under the No Surprises Act before paying, as federal protections often ban surprise billing for emergency care and non-emergency services at in-network facilities.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 320 N Thirteenth St, Wakeeney, KS 67672
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals