CMS Price Transparency Data

Ultrasound, pelvis

Facility: Trinity Health Oakland Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$60
about 0.6× the $107 Medicare rate · typically $44–$82
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
Below the fair price — a good deal
about $15 under the fair price · 0.4× Medicare
Medicare pays $107 Fair price $60 This hospital $45 Hospital's list price $661

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $32 Priciest $45

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

A fair price for a Ultrasound, pelvis is about $60 (about 0.6× the $107 Medicare rate). Trinity Health Oakland Hospital charges insurers about $45 — below the fair price — a good deal. Located in Pontiac, MI.

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 $21 - $906 20%
Blue Cross Blue Shieldmajor $21 - $116 20%
Aetnamajor $21 - $911 20%
Cignamajor $21 - $895 20%
Humanamajor $21 - $887 20%
Kaiser Permanentemajor $116 109%
Ambetter (Centene) $21 20%
AmeriHealth $66 - $887 62%
CareSource $183 171%
Clover Health $32 30%
Dean Health Plan $45 - $821 42%
GEHA $30 - $906 28%
Health Net $21 - $1,208 20%
HealthPartners $21 - $880 20%
MagnaCare $66 - $887 62%
Medical Mutual $66 - $82 62%
Meridian $21 - $32 20%
Molina $21 - $135 20%
MVP Health Care $45 - $821 42%
Paramount $21 - $821 20%
Presbyterian $21 - $32 20%
Priority Health $48 - $165 45%
Tufts Health Plan $21 - $880 20%
UniCare $66 - $887 62%
WellMed $32 30%
WellSense $21 20%
+ 430 smaller / regional plans $21 - $1,208
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 18 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals