CMS Price Transparency Data

Ultrasound, pelvis

Facility: Munson Healthcare Grayling Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $104
  • Cash Discount Price: $757
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Munson Healthcare Grayling Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $757. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 1100 E Michigan Ave, Grayling, MI.
Cash / Self-Pay
$757

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $757 (709%)
Insurance Median: $104 (97%)
Cash: $757 (709% of Medicare)
Ins. Median: $104 (97% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $21 - $201 20%
Mclaren Health Plan $21 - $518 20%
Meridian $21 - $54 20%
Molina $21 - $112 20%
Priority Health $21 - $248 20%
UnitedHealthcare $21 - $556 20%
Aetna $32 - $703 30%
Atrium King Centre Skilled Nursing Services $32 - $104 30%
Blue Care Network $32 - $104 30%
Hap (Health Alliance Plan) $32 - $742 30%
Humana $32 - $104 30%
Medicare (plans) $32 - $104 30%
Northern Michigan Mennonite Group $32 - $104 30%
Promedica $32 - $104 30%
Wellcare (Meridian) $32 - $104 30%
Wellspring Lutheran Services Skilling Nursing Services $32 - $104 30%
Michigan Amish Medical Board $37 - $114 35%
Cofinity $43 - $723 40%
Provider Network Of America Group Health $45 - $788 42%
Asr/Physicians Care $48 - $742 45%
Cigna $49 - $248 46%
Nomi Health $51 - $742 48%
Employee Benefits Logistics $54 - $177 51%
Hospice Of Michigan $512 - $556 479%
Munson Hospice $598 - $852 560%
Medical Cost Savings Solution $683 - $742 639%
The Robbins Group And Regency Employee Benefits $683 - $742 639%
Wds Enterprise Group Planning $683 - $742 639%
First Health/Coventry Network $726 - $788 680%
Three Rivers Provider Network $726 - $788 680%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 E Michigan Ave, Grayling, MI 49738
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals