CMS Price Transparency Data

Ultrasound, pelvis

Facility: Cass Regional Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $284
Cash Discount Price: $529
vs. Medicare Baseline: 2.66x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Cass Regional Medical Center is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.66x the Medicare baseline. Located in 2800 E Rock Haven Road, Harrisonville, MO.

Cash / Self-Pay

$529

Average discount available for prompt cash payment at this facility.

Insurance Median

$284

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: $529 (495%)

Insurance Median: $284 (266%)

Cash: $529 (495% of Medicare)

Ins. Median: $284 (266% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 266% of the Medicare baseline (a markup of 166%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$41 - $358	38%
UnitedHealthcare	$79 - $552	74%
Blue Cross Blue Shield	$95 - $657	89%
Ambetter / Centene	$129 - $489	121%
Humana	$152 - $709	142%
Oscar	$158 - $598	148%
Ivl/Carelink	$172 - $649	161%
Aetna	$191 - $1,076	179%
Wppa Unified Health Plan	$237 - $896	222%
Multiplan	$265 - $1,004	248%
Coventry Leased	$306 - $1,158	286%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $529.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cass Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.