CMS Price Transparency Data

Ultrasound, pelvis

Facility: Deaconess Henderson Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $97
  • Cash Discount Price: $405
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Deaconess Henderson Hospital is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $405. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.91x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$405

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $405 (379%)
Insurance Median: $97 (91%)
Cash: $405 (379% of Medicare)
Ins. Median: $97 (91% 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
Aetna $29 - $1,310 27%
Blue Cross Blue Shield $29 - $768 27%
Humana $29 - $1,081 27%
Medicare (plans) $29 - $97 27%
Mhs Mco $29 - $97 27%
Molina Healthcare Of Ky $29 - $97 27%
Molina Healthcare Of Ky - Exchange $29 - $97 27%
Mytru Advantage $29 - $97 27%
Umwa $29 - $97 27%
UnitedHealthcare $29 - $270 27%
Wellcare Il $29 - $97 27%
Wellcare Ky $29 - $116 27%
Caresource In $30 - $97 28%
Medicaid / KanCare $30 - $270 28%
Center Care Narrow $31 - $770 29%
Center Care Open Access $31 - $838 29%
Caresource In Marketplace $38 - $145 36%
Wellcare Ky Commercial Exchange $38 - $198 36%
Alliance Coal $41 - $145 38%
Noncontracted $47 - $154 44%
Encircle/Encore Combined $48 - $782 45%
Encircle/Encore Prime $48 - $729 45%
First Health Network (Coventry) $53 - $1,148 50%
Healthlink $53 - $1,013 50%
Iu Health Plans $53 - $692 50%
Phcs/Multiplan $53 - $1,216 50%
Sagamore $53 - $1,189 50%
Ky Racing Health & Welfare Fund $79 - $392 74%
Self-Pay $79 - $405 74%
Cigna $135 - $865 126%
Claimdoc $135 - $811 126%
Hopetrust $135 - $232 126%
Hstechnology $135 - $232 126%
Amish And Mennonite Of Western Ky $145 - $219 136%
Coventry National Network $180 - $1,081 169%
Webster County Detention Center $180 - $1,081 169%
Henderson County Detention Center $202 - $1,216 189%
One Care $212 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals