CMS Price Transparency Data

Ultrasound, pelvis

Facility: Sanford Luverne Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$140

about 1.3× the $107 Medicare rate · typically $113–$343

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

Below the fair price — a good deal

about $28 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $140 This hospital $112 Cash price $742 Hospital's list price $927

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

Highest price of the 9 MN hospitals we have prices for — worth calling around.

Cheapest $37 Priciest $112

Black dot = this hospital, among the 9 MN 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 $140 (about 1.3× the $107 Medicare rate). Sanford Luverne Medical Center charges insurers about $112, or about $742 in cash — below the fair price — a good deal. Located in Luverne, MN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$353 - $774	330%
Blue Cross Blue Shieldmajor	$224 - $858	210%
Aetnamajor	$353 - $806	330%
Cignamajor	$834	781%
Health Net	$834	781%
HealthPartners	$353 - $742	330%
Medica	$815 - $877	763%
Sanford Health Plan	$326 - $584	305%
Security Health Plan	$510	477%
UCare	$112 - $814	105%
+ 2 smaller / regional plans	$360 - $834

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 742), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76856.

Insurance Before you use insurance

Call your insurance company to confirm Sanford Luverne Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 76856.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sanford Luverne Medical Center

Compare: Ultrasound, pelvis at other MN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.