CMS Price Transparency Data

Ultrasound, pelvis

Facility: Murray-Calloway County Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $400
Cash Discount Price: $772
vs. Medicare Baseline: 3.74x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Murray-Calloway County Hospital is $400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.74x the Medicare baseline. Located in 803 Poplar Street, Murray, KY.

Cash / Self-Pay

$772

Average discount available for prompt cash payment at this facility.

Insurance Median

$400

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: $772 (723%)

Insurance Median: $400 (374%)

Cash: $772 (723% of Medicare)

Ins. Median: $400 (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.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$98 - $821	92%
Humana	$98 - $801	92%
Tricare	$98	92%
Triwest - All Plans	$98	92%
Wellcare Mcr Adv	$100	94%
Wellcare Health Plan Inc	$113	106%
Medben Mcch Employees	$167	156%
Ambetter / Centene	$191	179%
Health Cost Solutions - All Plans	$245	229%
Aetna	$400	374%
Coventry Cares Of Ky - All Plans	$400	374%
Medicaid / KanCare	$400	374%
Passport Health - All Plans	$400	374%
Occunet - All Plans	$594	556%
UnitedHealthcare	$608	569%
Medben City Of Murray - All Other Plans	$712	667%
Center Care - All Plans	$855	800%
Bluegrass - All Plans	$890	833%
Three Rivers - All Plans	$950	889%
First Health - All Plans	$1,068	1000%
Healthsmart - All Plans	$1,068	1000%
Multiplan - All Plans	$1,068	1000%
Corvel Corporation - All Plans	$1,187	1111%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $772.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Murray-Calloway County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.