CMS Price Transparency Data

Ultrasound, pelvis

Facility: Metrowest Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$127
about 1.2× the $107 Medicare rate · typically $111–$345
modeled estimate · not a bill or quote
What this hospital charges insurers
$120
About the fair price
about $7 under the fair price · 1.1× Medicare
Medicare pays $107 Fair price $127 This hospital $120 Cash price $1,553 Hospital's list price $2,070

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 MA hospitals compared.

Cheapest $109 Priciest $125

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 $127 (about 1.2× the $107 Medicare rate). Metrowest Medical Center charges insurers about $120, or about $1,553 in cash — about the fair price. Located in Framingham, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna Blue Cross Blue ShieldCignaHumanaKaiser 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 $109 102%
Aetnamajor $233 - $528 218%
Health Net $132 124%
+ 1 smaller / regional plan $132
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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

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Facility Profile & Credentials

  • Address: 115 Lincoln Street, Framingham, MA 01701
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals