CMS Price Transparency Data

Ultrasound, pelvis

Facility: Smith County Memorial Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $279
  • Cash Discount Price: $297
  • vs. Medicare Baseline: 2.61x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Smith County Memorial Hospital is $279. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $297. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.61x the Medicare baseline. Located in 921 E. Highway 36, Smith Center, KS.
Cash / Self-Pay
$297

Average discount available for prompt cash payment at this facility.

Insurance Median
$279

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: $297 (278%)
Insurance Median: $279 (261%)
Cash: $297 (278% of Medicare)
Ins. Median: $279 (261% 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 261% of the Medicare baseline (a markup of 161%). 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%
Medicaid / KanCare $208 - $297 195%
Multiplan-All Plans $267 250%
Wppa-All Plans $279 261%
Midlands Choice-All Plans $282 264%
UnitedHealthcare $282 264%
Health Partners Of Ks Ppo-All Plans $282 264%

Consumer Guidance & Cost Commentary

For this ultrasound procedure at Smith County Memorial Hospital in Smith Center, KS, the cash price is $297.00, which matches the facility's gross charge and the median amount paid by Medicaid/KanCare plans. While the facility is a Critical Access Hospital owned by the local government, the negotiated rates for in-network payers range from $208 to $297, with most commercial plans settling at $279.00. Because the cash price aligns with the highest negotiated rates, patients with high-deductible plans may find paying out-of-pocket directly cheaper than using insurance, which often incurs administrative fees and potential balance billing if the provider is out-of-network. We recommend asking the hospital specifically about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can further lower the cost for those who do not have insurance coverage.

It is important to distinguish between the facility's gross charge and the actual amount billed to patients. The Medicare benchmark for this service is $106.81, which serves as a scientifically validated baseline for the true cost of care, whereas commercial negotiated rates often exceed this by significant margins due to administrative overhead and contract dynamics. Although the data does not provide specific county or state average comparisons for this code, patients should be aware that balance billing can occur if they receive care from out-of-network providers, even at an in-network facility, potentially resulting in unexpected bills for the difference between the allowed amount and the full chargemaster rate. To avoid these surprises, consumers should request a detailed, itemized bill that breaks down every CPT code and service rendered, ensuring no unbundled charges or services not received are included before final

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 921 E. Highway 36, Smith Center, KS 66967
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals