CMS Price Transparency Data

Ultrasound, pelvis

Facility: Nkc Health

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$135

about 1.3× the $107 Medicare rate · typically $80–$174

modeled estimate · not a bill or quote

What this hospital charges insurers

$105

Below the fair price — a good deal

about $30 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $135 This hospital $105 Cash price $308 Hospital's list price $1,062

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $38 Priciest $105

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, pelvis is about $135 (about 1.3× the $107 Medicare rate). Nkc Health charges insurers about $105, or about $308 in cash — below the fair price — a good deal. Located in North Kansas City, MO.

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	$105 - $115	98%
Blue Cross Blue Shieldmajor	$58 - $715	54%
Aetnamajor	$539 - $869	505%
Cignamajor	$499	467%
Humanamajor	$107	100%
Ambetter (Centene)	$93	87%
Oscar Health	$294	275%
+ 5 smaller / regional plans	$96 - $637

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 308), 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 Nkc Health 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 Nkc Health

Compare: Ultrasound, pelvis at other MO hospitals

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