Ultrasound, pelvis
Facility: Ascension Via Christi Rehabilitation Hospital Inc
Billing Code: 76856 (CPT)
- CPT Billing Code: 76856
- Insurance Median: $100
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.94x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Va | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Humana | $98 | 92% |
| Vc Hope | $98 | 92% |
| Blue Cross Blue Shield | $100 | 94% |
| UnitedHealthcare | $100 - $275 | 94% |
| Aetna | $102 - $335 | 95% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Coventry City Of Wichita | $231 | 216% |
| Cigna | $236 | 221% |
Consumer Guidance & Cost Commentary
For the CPT code 76856 (Ultrasound, pelvis) at Ascension Via Christi Rehabilitation Hospital Inc in Wichita, KS, the facility's negotiated rates range from $98 to $275 across 11 payers, with a median negotiated amount of $100.00. This facility is a Part A provider, and while specific cash or median paid rates are not available for this service, patients should note that cash-pay options can sometimes be more cost-effective than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can significantly reduce the final bill by bypassing administrative claim processing fees.
When evaluating costs, it is important to compare rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. For this procedure, the Medicare amount is $106.81, and the facility's negotiated rates generally align closely with this baseline, with the lowest negotiated rate at $98 and the highest at $275. Since Medicare rates represent the scientifically validated cost basis for healthcare delivery, commercial rates that exceed 120% to 150% of this amount may indicate higher markups. Consumers should request an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final invoice, as over 80% of hospital bills contain errors that can be corrected through formal written disputes.