CMS Price Transparency Data

Ultrasound, pelvis

Facility: Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $377
Cash Discount Price: $566
vs. Medicare Baseline: 3.53x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital is $377. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $566. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.53x the Medicare baseline. Located in 200 Abraham Flexner Way, Louisville, KY.

Cash / Self-Pay

$566

Average discount available for prompt cash payment at this facility.

Insurance Median

$377

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: $566 (530%)

Insurance Median: $377 (353%)

Cash: $566 (530% of Medicare)

Ins. Median: $377 (353% 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 353% of the Medicare baseline (a markup of 253%). 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
Humana	$91 - $238	85%
Senior Care Community Of Ky	$96	90%
Blue Cross Blue Shield	$100 - $541	94%
Cigna	$100	94%
Essence Health	$100	94%
Passport	$100 - $629	94%
Signature	$100 - $103	94%
Va Ccn	$100	94%
Devoted	$101 - $377	95%
Communicare	$105	98%
Communicare Med Adv Fy	$105	98%
Velocity	$120 - $1,233	112%
Key Benefit Administrators	$130	122%
Wellcare	$135 - $226	126%
UnitedHealthcare	$226 - $600	212%
Aetna	$238	223%
Prime Group Health	$447 - $1,069	419%
Encore	$755	707%
Multiplan	$830 - $1,132	777%
Omca	$1,195	1119%
Corvel	$1,258	1178%
Cshn	$1,258	1178%
Health Smart	$1,258	1178%
National Comp Care	$1,258	1178%

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 $566.
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 Uofl Health - Jewish Hospital and Mary & Elizabeth 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.