CMS Price Transparency Data
Ultrasound, pelvis
Facility: Greater Baltimore Medical Center
Billing Code: 76856 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$110
about 1.0× the $107 Medicare rate · typically $98–$151
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
About the fair price
about $2 over the fair price · 1.0× Medicare
Medicare pays $107 Fair price $110 This hospital $112 Cash price $218 Hospital's list price $218
A fair price for a Ultrasound, pelvis is about $110 (about 1.0× the $107 Medicare rate). Greater Baltimore Medical Center charges insurers about $112, or about $218 in cash — about the fair price. Located in Baltimore, MD.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
6 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 | $88 - $118 | 82% |
| Blue Cross Blue Shieldmajor | $88 - $211 | 82% |
| Aetnamajor | $88 - $125 | 82% |
| Cignamajor | $112 - $126 | 105% |
| Humanamajor | $112 | 105% |
| Kaiser Permanentemajor | $158 | 148% |
| UniCare | $112 | 105% |
| + 8 smaller / regional plans | $88 - $151 |
Government programs also on file: Medicare, Medicaid.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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