CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mercy Health Saint Mary's

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$128
about 1.2× the $107 Medicare rate · typically $95–$208
modeled estimate · not a bill or quote
What this hospital charges insurers
$116
About the fair price
about $12 under the fair price · 1.1× Medicare
Medicare pays $107 Fair price $128 This hospital $116 Cash price $402 Hospital's list price $619

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 $116

Black dot = this hospital, among the 9 MI 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 $128 (about 1.2× the $107 Medicare rate). Mercy Health Saint Mary's charges insurers about $116, or about $402 in cash — about the fair price. Located in Grand Rapids, 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 $107 - $619 100%
Blue Cross Blue Shieldmajor $58 - $116 54%
Aetnamajor $82 - $490 77%
Cignamajor $452 423%
Humanamajor $471 - $619 441%
Kaiser Permanentemajor $116 109%
AmeriHealth $471 441%
CareSource $404 378%
Dean Health Plan $452 423%
GEHA $82 - $470 77%
Medical Mutual $82 77%
Molina $135 126%
MVP Health Care $452 423%
Oscar Health $133 125%
Paramount $452 423%
Priority Health $223 - $404 209%
UniCare $471 441%
+ 144 smaller / regional plans $73 - $619
Government programs also on file: Medicare, Medicaid.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 200 Jefferson Avenue Se, Grand Rapids, MI 49503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals