CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mercy Health Lakeshore Campus

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$144
about 1.3× the $107 Medicare rate · typically $86–$223
modeled estimate · not a bill or quote
What this hospital charges insurers
$156
About the fair price
about $12 over the fair price · 1.5× Medicare
Medicare pays $107 Fair price $144 This hospital $156 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 $156

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 $144 (about 1.3× the $107 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $156, or about $402 in cash — about the fair price. Located in Shelby, MI.

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 $217 - $557 203%
Blue Cross Blue Shieldmajor $79 - $152 74%
Aetnamajor $155 145%
Cignamajor $537 503%
Humanamajor $554 519%
AmeriHealth $554 519%
CareSource $552 517%
Dean Health Plan $532 498%
GEHA $557 521%
Medical Mutual $554 519%
Molina $258 242%
MVP Health Care $532 498%
Oscar Health $190 178%
Paramount $532 498%
Priority Health $558 522%
UniCare $554 519%
+ 116 smaller / regional plans $108 - $568
Government programs also on file: Medicare, Medicaid.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 72 South State Street, Shelby, MI 49455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals