CMS Price Transparency Data
Ultrasound, pelvis
Facility: Chelsea Hospital
Billing Code: 76856 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76856
- Insurance Median: $319
- Cash Discount Price: $1,147
- vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Chelsea Hospital is $319. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,147. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.99x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$1,147
Average discount available for prompt cash payment at this facility.
Insurance Median
$319
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: $1,147 (1074%)
Insurance Median: $319 (299%)
Cash: $1,147 (1074% of Medicare)
Ins. Median: $319 (299% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 299% of the Medicare baseline (a markup of 199%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $58 - $116 | 54% |
| Medicaid / KanCare | $58 - $60 | 54% |
| Aetna | $82 - $564 | 77% |
| Geha | $82 - $812 | 77% |
| Meritain | $82 | 77% |
| Blue Care Network Advantage | $102 | 95% |
| Medicare (plans) | $102 - $105 | 95% |
| Align Senior Care | $105 | 98% |
| Angela Hospice | $105 | 98% |
| Arbor Hospice | $105 | 98% |
| Heartland Hospice | $105 | 98% |
| UnitedHealthcare | $108 - $812 | 101% |
| Cca - Zing Health | $111 | 104% |
| Bcn Domestic | $116 | 109% |
| Blue Benefit Administrators Of Massachusetts | $116 | 109% |
| Blue Care Network | $116 | 109% |
| Blue Distinction Transplant | $116 | 109% |
| Blue Shield - Ca | $116 | 109% |
| Blue Shield - Id (Regence) | $116 | 109% |
| Blue Shield - Ny Highmark Northeastern | $116 | 109% |
| Blue Shield - Ny Highmark Western | $116 | 109% |
| Blue Shield - Pa (Highmark) | $116 | 109% |
| Blue Shield - Wa (Regence) | $116 | 109% |
| Health Choices | $116 - $803 | 109% |
| Kaiser Domestic | $116 | 109% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $118 | 110% |
| Molina Marketplace | $136 | 127% |
| Health Cost Solutions | $162 | 152% |
| Vitalcore | $162 | 152% |
| Wellpath | $162 | 152% |
| Priority Health | $165 - $183 | 154% |
| Asr Health Benefits | $198 | 185% |
| Caresource | $198 | 185% |
| Hap | $198 - $938 | 185% |
| Varipro | $198 | 185% |
| U Of M Health Plan | $229 | 214% |
| Employee Benefit Logistic | $235 | 220% |
| Wc Accident Fund | $319 | 299% |
| Wc Advantage | $319 | 299% |
| Wc Aig | $319 | 299% |
| Wc Allied | $319 | 299% |
| Wc Amerisure | $319 | 299% |
| Wc Amtrust | $319 | 299% |
| Wc Asu Risk Mgt | $319 | 299% |
| Wc Berkley Admin | $319 | 299% |
| Wc Broadspire | $319 | 299% |
| Wc Bunch & Associates | $319 | 299% |
| Wc Ccmsi | $319 | 299% |
| Wc Emc Insurance Company | $319 | 299% |
| Wc Esis | $319 | 299% |
| Wc Fcci | $319 | 299% |
| Wc Federated | $319 | 299% |
| Wc Gallagher Bassett | $319 | 299% |
| Wc Genex Care For Ohio | $319 | 299% |
| Wc Guard Insurance Company | $319 | 299% |
| Wc Hartford | $319 | 299% |
| Wc Liberty Mutual | $319 | 299% |
| Wc Meijers | $319 | 299% |
| Wc Michigan | $319 | 299% |
| Wc Mitchell Frankenmuth | $319 | 299% |
| Wc Pma | $319 | 299% |
| Wc Sedgwick | $319 | 299% |
| Wc Sentry | $319 | 299% |
| Wc Travelers | $319 | 299% |
| Wc Tristar | $319 | 299% |
| Wc Walmart | $319 | 299% |
| Wc Zurich | $319 | 299% |
| Access Health | $803 | 752% |
| Acclaim | $803 | 752% |
| Administrative Concepts | $803 | 752% |
| Allegeant | $803 | 752% |
| Ameriben | $803 | 752% |
| American Family | $803 | 752% |
| American Healthcare Alliance | $803 | 752% |
| American National | $803 | 752% |
| American Republic | $803 | 752% |
| Amerihealth | $803 | 752% |
| Aultcare | $803 | 752% |
| Automated Benefit Services | $803 | 752% |
| Auxiant | $803 | 752% |
| Benefit Administrative Systems,Llc | $803 | 752% |
| Boon Chapman | $803 | 752% |
| Cam Administrative Services | $803 | 752% |
| Christian Brother Services | $803 | 752% |
| Christian Brothers Holy Cross | $803 | 752% |
| Comprehensive Benefits | $803 | 752% |
| Continental Life Insurance | $803 | 752% |
| Custom Benefit Administrators | $803 | 752% |
| Employee Benefit Concepts | $803 | 752% |
| Employee Benefit Management | $803 | 752% |
| Enterprise Group Planning | $803 | 752% |
| Freedom Life Insurance Company | $803 | 752% |
| Group Administrators | $803 | 752% |
| Group Marketing Services | $803 | 752% |
| Guardian | $803 | 752% |
| Health America | $803 | 752% |
| Healthcare Management Admin | $803 | 752% |
| Healthez | $803 | 752% |
| Humana | $803 | 752% |
| Insight | $803 | 752% |
| Intercare | $803 | 752% |
| Jfp Benefit Management | $803 | 752% |
| Jp Farley Corporation | $803 | 752% |
| Key Benefit Administrator | $803 | 752% |
| Liberty Union Life Assurance Co | $803 | 752% |
| Lucent Health | $803 | 752% |
| Luminare Health | $803 | 752% |
| Luminare Health (Detroit) | $803 | 752% |
| Magnacare | $803 | 752% |
| Medben | $803 | 752% |
| Medcost | $803 | 752% |
| Medical Mutual | $803 | 752% |
| Mutual Health Services | $803 | 752% |
| Mutual Of Omaha | $803 | 752% |
| Ncas | $803 | 752% |
| Nippon Life Ins | $803 | 752% |
| Nova | $803 | 752% |
| Painters Union Insurance Fund | $803 | 752% |
| Physicians Mutual | $803 | 752% |
| Plumbers Local 98 Insurance Fund | $803 | 752% |
| Prairie States | $803 | 752% |
| Preferred One | $803 | 752% |
| Primary Physician Care | $803 | 752% |
| Professional Benefit Administrators | $803 | 752% |
| Siho Insurance Services | $803 | 752% |
| Sisco Benefits | $803 | 752% |
| The Loomis Company | $803 | 752% |
| Unicare | $803 | 752% |
| Us Health And Life | $803 | 752% |
| Valenz | $803 | 752% |
| Western & Southern Financial Group | $803 | 752% |
| Wps | $803 | 752% |
| Coventry | $826 | 773% |
| First Health | $826 | 773% |
| Hospice Of Michigan | $846 | 792% |
| Cigna | $852 | 798% |
| 1199 National Benefit Fund | $906 | 848% |
| Allied National Global Care | $906 | 848% |
| Asrm - Reliance Standard Life Insurance | $906 | 848% |
| Christian Care Ministry | $906 | 848% |
| Dean Health | $906 | 848% |
| Fallon Health | $906 | 848% |
| Family Life Insurance Company | $906 | 848% |
| Ghc Scw | $906 | 848% |
| Group Pension Administrators | $906 | 848% |
| International Benefit Administrators | $906 | 848% |
| Lifetime Benefit Solutions | $906 | 848% |
| Manhattan Life | $906 | 848% |
| Medi Share | $906 | 848% |
| Multiplan | $906 | 848% |
| Mvp | $906 | 848% |
| Pai | $906 | 848% |
| Pan-American Life | $906 | 848% |
| Paramount Hmo | $906 | 848% |
| Phcs | $906 | 848% |
| Trinity Health Share | $906 | 848% |
| Health Partners | $938 | 878% |
| Tufts Health Plan | $938 | 878% |
| Prime Health Services | $966 | 904% |
| Three Rivers Provider Network | $1,087 | 1018% |
| Cmh Detroit Wayne Integrated Health Network | $1,208 | 1131% |
| Cmh Jackson County/Lifeways | $1,208 | 1131% |
| Cmh Lenawee County | $1,208 | 1131% |
| Cmh Livingston County | $1,208 | 1131% |
| Cmh Misc | $1,208 | 1131% |
| Cmh Monroe County | $1,208 | 1131% |
| Cmh Washtenaw County | $1,208 | 1131% |
| Magellan Behavioral Health | $1,208 | 1131% |