CMS Price Transparency Data

Ultrasound, pelvis

Facility: University of Mississippi Med Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $223
Cash Discount Price: $399
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at University of Mississippi Med Center is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.09x the Medicare baseline. Located in 2500 N State St, Jackson, MS.

Cash / Self-Pay

$399

Average discount available for prompt cash payment at this facility.

Insurance Median

$223

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: $399 (374%)

Insurance Median: $223 (209%)

Cash: $399 (374% of Medicare)

Ins. Median: $223 (209% 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 209% of the Medicare baseline (a markup of 109%). 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
Ms-Can-Molina	$83	78%
Ms-Can-Magnolia	$84	79%
Ms-Can-Truecare	$85	80%
Medicare (plans)	$94	88%
Tricare	$94	88%
Va_Ccn	$94	88%
Medadv_Primewell	$97	91%
Medadv_Uhc	$97	91%
Medadv_Uhcdsnp	$97	91%
Wellcare	$97	91%
Humana	$98	92%
Molina-Chip	$178	167%
Magnolia-Chip	$182	170%
Truecare-Chip	$182	170%
Molina_Exchange	$203	190%
Mpcn	$223	209%
Firstchoice	$236	221%
Firstchoice-Hum	$236	221%
Ambetter / Centene	$238	223%
Advhealth	$242	227%
Primewell	$262	245%
Blue Cross Blue Shield	$355	332%
Cigna	$578	541%
United	$744	697%
United-Options	$749	701%
Ppoplus	$778	728%
Firsthealth	$798	747%
Multiplan	$798	747%
Aetna	$847	793%
Healthlink_Tupelo	$847	793%
Phcs	$897	840%

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 $399.
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 University of Mississippi Med 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.