CMS Price Transparency Data

Ultrasound, pelvis

Facility: Cooley Dickinson Hospital Inc,The

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$153

about 1.4× the $107 Medicare rate · typically $116–$257

modeled estimate · not a bill or quote

What this hospital charges insurers

$126

Below the fair price — a good deal

about $27 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $153 This hospital $126 Cash price $452 Hospital's list price $602

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $109 Priciest $126

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, pelvis is about $153 (about 1.4× the $107 Medicare rate). Cooley Dickinson Hospital Inc,The charges insurers about $126, or about $452 in cash — below the fair price — a good deal. Located in Northampton, MA.

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✓ Cigna HumanaKaiser 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	$126 - $602	118%
Blue Cross Blue Shieldmajor	$126 - $161	118%
Aetnamajor	$560	524%
Cignamajor	$585	548%
Harvard Pilgrim	$113	106%
Tufts Health Plan	$126 - $528	118%
+ 3 smaller / regional plans	$126 - $426

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 452), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76856.

Insurance Before you use insurance

Call your insurance company to confirm Cooley Dickinson Hospital Inc,The is in-network.
Ask your insurer whether prior approval is required for CPT code 76856.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Cooley Dickinson Hospital Inc,The

Compare: Ultrasound, pelvis at other MA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.