CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mainehealth Stephens Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$110
about 1.0× the $107 Medicare rate · typically $88–$275
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $1 under the fair price · 1.0× Medicare
Medicare pays $107 Fair price $110 This hospital $109 Cash price $1,407 Hospital's list price $1,407

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

On the higher side — 7 of 8 other ME hospitals charge less.

Cheapest $79 Priciest $111

Black dot = this hospital, among the 9 ME 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 $110 (about 1.0× the $107 Medicare rate). Mainehealth Stephens Hospital charges insurers about $109, or about $1,407 in cash — about the fair price. Located in Norway, 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 $37 - $1,350 35%
Blue Cross Blue Shieldmajor $33 - $1,314 31%
Aetnamajor $33 - $1,286 31%
Cignamajor $1,311 1227%
Humanamajor $37 - $549 35%
Harvard Pilgrim $62 - $1,364 58%
WellCare $39 - $571 37%
+ 1 smaller / regional plan $66 - $1,336
Excludes 1 rental-network / third-party entry (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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Facility Profile & Credentials

  • Address: 181 Main Street, Norway, ME 04268
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals