CMS Price Transparency Data
Ultrasound, pelvis
Facility: Helen Newberry Joy Hospital
Billing Code: 76856 (CPT)
The BaseRate · fair price high confidence
A fair price for this
$133
about 1.2× the $107 Medicare rate · typically $84–$212
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $133 Cash price $49 Hospital's list price $78
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 | $65 - $600 | 61% |
| Blue Cross Blue Shieldmajor | $66 - $611 | 62% |
| Aetnamajor | $60 - $588 | 56% |
| Cignamajor | $65 - $600 | 61% |
| Humanamajor | $247 - $321 | 231% |
| Priority Health | $65 - $600 | 61% |
| + 7 smaller / regional plans | $43 - $600 |
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.
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Other Procedures at Helen Newberry Joy Hospital
Compare: Ultrasound, pelvis at other MI hospitals
- Henry Ford Macomb Hospital · Clinton Township $32
- Henry Ford Health Hospital · Detroit $32
- Wyandotte Hospital and Medical Center · Wyandotte $32
- Henry Ford Health West Bloomfield Hospital · W Bloomfield $32
- St Joe Mercy Hospital System Livonia · Livonia $37
- McLaren Bay Region · Bay City $43
- McLaren Central Michigan · Mount Pleasant $43
- McLaren Northern Michigan · Petoskey $43
Insurance negotiated median for the same procedure, sorted lowest first.