CMS Price Transparency Data

Ultrasound, pelvis

Facility: Baptist Health Deaconess Madisonville

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$75
about 0.7× the $107 Medicare rate · typically $69–$101
modeled estimate · not a bill or quote
What this hospital charges insurers
$66
Below the fair price — a good deal
about $9 under the fair price · 0.6× Medicare
Medicare pays $107 Fair price $75 This hospital $66 Cash price $165 Hospital's list price $1,267

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

A typical price — 3 charge more and 5 charge less, among the 9 KY hospitals compared.

Cheapest $32 Priciest $71

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, pelvis is about $75 (about 0.7× the $107 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $66, or about $165 in cash — below the fair price — a good deal. Located in Madisonville, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $29 - $434 27%
Blue Cross Blue Shieldmajor $29 - $419 27%
Aetnamajor $29 - $152 27%
Humanamajor $29 - $443 27%
Ambetter (Centene) $184 172%
HealthLink $433 405%
Molina $30 - $152 28%
WellCare $30 - $152 28%
+ 8 smaller / regional plans $29 - $1,088
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 900 Hospital Drive, Madisonville, KY 42431
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals