CMS Price Transparency Data

Ultrasound, pelvis

Facility: Madison Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$74
about 0.7× the $107 Medicare rate · typically $65–$310
modeled estimate · not a bill or quote
What this hospital charges insurers
$75
About the fair price
about $1 over the fair price · 0.7× Medicare
Medicare pays $107 Fair price $74 This hospital $75 Cash price $600 Hospital's list price $706

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

A typical price — 5 charge more and 3 charge less, among the 9 MN hospitals compared.

Cheapest $37 Priciest $101

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 $74 (about 0.7× the $107 Medicare rate). Madison Hospital charges insurers about $75, or about $600 in cash — about the fair price. Located in Madison, 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✓ Humana CignaKaiser 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 $24 - $2,713 22%
Blue Cross Blue Shieldmajor $24 - $2,713 22%
Aetnamajor $38 - $650 36%
Humanamajor $32 - $671 30%
HealthPartners $23 - $668 22%
Medica $25 - $600 23%
Sanford Health Plan $233 - $650 218%
+ 1 smaller / regional plan $26 - $400
Government programs also on file: Medicare, Medicaid.
Excludes 3 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

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Facility Profile & Credentials

  • Address: 820 Third Avenue, Madison, MN 56256
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals