CMS Price Transparency Data

Ultrasound, pelvis

Facility: Penobscot Valley Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$260
about 2.4× the $107 Medicare rate · typically $123–$324
modeled estimate · not a bill or quote
What this hospital charges insurers
$142
Below the fair price — a good deal
about $118 under the fair price · 1.3× Medicare
Medicare pays $107 Fair price $260 This hospital $142 Cash price $387 Hospital's list price $484

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

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

Cheapest $79 Priciest $142

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

A fair price for a Ultrasound, pelvis is about $260 (about 2.4× the $107 Medicare rate). Penobscot Valley Hospital charges insurers about $142, or about $387 in cash — below the fair price — a good deal. Located in Lincoln, ME.

What each insurance company pays

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

5 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 $35 - $589 33%
Blue Cross Blue Shieldmajor $36 - $546 34%
Aetnamajor $109 - $706 102%
Cignamajor $217 - $692 203%
Humanamajor $36 - $342 34%
Harvard Pilgrim $142 - $703 133%
WellCare $31 - $342 29%
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 7 Transalpine Road, Po Box 368, Lincoln, ME 04457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals