CMS Price Transparency Data

Ultrasound, pelvis

Facility: Christus St Frances Cabrini Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $213
Cash Discount Price: $426
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Christus St Frances Cabrini Hospital is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $426. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.99x the Medicare baseline. Located in 3330 Masonic Drive, Alexandria, LA.

Cash / Self-Pay

$426

Average discount available for prompt cash payment at this facility.

Insurance Median

$213

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: $426 (399%)

Insurance Median: $213 (199%)

Cash: $426 (399% of Medicare)

Ins. Median: $213 (199% 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.

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	$99 - $262	93%
Triwest	$99	93%
Active Med	$101	95%
Aetna	$101 - $414	95%
Arcadian Health Plan	$101	95%
Blue Cross Blue Shield	$101 - $334	95%
Christus Health	$101 - $142	95%
Coventry	$101	95%
UnitedHealthcare	$101 - $245	95%
Vantage Health Plan Inc.	$101 - $818	95%
Dignity Health	$104	97%
Peoples Health	$104	97%
Wellcare	$106	99%
Allyalign Health	$111	104%
Medicare (plans)	$111	104%
Amerihealth Caritas Louisiana	$196	184%
Healthy Blue Louisiana	$196	184%
Louisiana Healthcare Connections	$196	184%
Cigna	$344	322%
Lsu First Choice Verity	$818	766%
Gilsbar, Inc.	$982	919%
Healthcare Highways	$982	919%
Verity Healthnet	$982	919%
Healthsmart	$1,064 - $1,310	996%
Ppoplus Llc	$1,064	996%
Five Point Credit Union	$1,146	1073%
Multiplan	$1,146	1073%
Phcs	$1,146	1073%
Health Management Network	$1,310	1226%
Provider Select	$1,310	1226%
First Health	$1,391	1302%
Verity Healthnet National	$1,391	1302%

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 $426.
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 Christus St Frances Cabrini 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.