CMS Price Transparency Data

Ultrasound, pelvis

Facility: Belton Regional Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $181
  • Cash Discount Price: $6,818
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Belton Regional Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,818. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 17065 S 71 Highway, Belton, MO.
Cash / Self-Pay
$6,818

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $6,818 (6383%)
Insurance Median: $181 (169%)
Cash: $6,818 (6383% of Medicare)
Ins. Median: $181 (169% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
United $60 - $3,068 56%
Healthyblue $61 57%
Aetna $62 - $3,477 58%
Amerigroup $62 58%
Medicaid / KanCare $62 58%
Unicare $62 58%
Home State Health Plan $64 60%
Multiplan $100 - $5,045 94%
Corvel Corporation $119 - $4,431 111%
Cigna $122 - $181 114%
Oha Network $124 - $3,409 116%
Blue Cross Blue Shield $164 - $2,795 154%
Humana $164 - $212 154%
Ambetter / Centene $1,268 1187%
Nhc Advantage $1,295 1212%
Wppa Providrs Care Network $1,364 1277%
Universal Healthcare $2,386 2234%
Coventry $2,741 2566%
Coventry Kc Mo $2,795 2617%
College Park Family Care Center $2,932 2745%
Cco, Inc. $5,795 5426%
Focus Healthcare Mgmt, Inc $6,136 5745%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 17065 S 71 Highway, Belton, MO 64012
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals