CMS Price Transparency Data

Ultrasound, pelvis

Facility: Merit Health Natchez

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $149
  • Cash Discount Price: $998
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Merit Health Natchez is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $998. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.40x the Medicare baseline. Located in 52 Sergeant Prentiss Drive, Natchez, MS.
Cash / Self-Pay
$998

Average discount available for prompt cash payment at this facility.

Insurance Median
$149

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: $998 (934%)
Insurance Median: $149 (140%)
Cash: $998 (934% of Medicare)
Ins. Median: $149 (140% 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
Medicaid / KanCare $81 - $507 76%
UnitedHealthcare $81 - $507 76%
Caresource Truecare $83 78%
Molina Chip $88 82%
Veterans Eval Services $91 85%
Cigna $96 90%
First Choice $98 - $2,328 92%
Medicare (plans) $98 92%
Node Magnolia Mcr Adv $98 92%
Node Vantage Mcr Adv $98 92%
Node First Choice Ice $99 93%
Node Hospice Non Par Agree $99 93%
Node Va $99 93%
Tricare $99 93%
Node Devoted Health Mcr Adv $100 94%
Node First Choice American Health Of Ms Mcr Adv $100 94%
Node Molina $100 94%
Node Peoples Health Mcr Adv $100 94%
Aetna $101 - $1,876 95%
Node First Choice Wellcare Mcr Adv $101 95%
Node Dignity Care Mcr Adv $103 96%
Node Champva $104 97%
Node Healthy Mississippi Mcr Adv $109 102%
Node Us Dept Of Labor $124 116%
Prime Health Wc $136 127%
Work Comp $140 131%
Medpartners $166 155%
Magnolia Exchange $174 163%
Molina Exchange $179 168%
Vantage Commercial $224 210%
Vantage Ppaca Tiered $229 214%
Advanced Health Systems $242 227%
Blue Cross Blue Shield $312 292%
Humana $507 475%
Self Pay $599 - $1,397 561%
Trimed Billing Solutions $998 934%
Prime Health Services $2,660 2490%
Ms Dept Of Rehabilitation Services $3,326 3114%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 52 Sergeant Prentiss Drive, Natchez, MS 39120
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals