CMS Price Transparency Data

Ultrasound, pelvis

Facility: Baptist Medical Center Attala

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $394
  • Cash Discount Price: $275
  • vs. Medicare Baseline: 3.69x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Baptist Medical Center Attala is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.69x the Medicare baseline. Located in 220 Hwy 12 West, Kosciusko, MS.
Cash / Self-Pay
$275

Average discount available for prompt cash payment at this facility.

Insurance Median
$394

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: $275 (257%)
Insurance Median: $394 (369%)
Cash: $275 (257% of Medicare)
Ins. Median: $394 (369% 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 369% of the Medicare baseline (a markup of 269%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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

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Commercial Insurance Negotiated Rates

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

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Magnolia Ms $93 - $230 87%
Veterans Evaluation Services $93 87%
Molina $95 - $405 89%
Coventry $135 126%
UnitedHealthcare $139 130%
Tricare $208 195%
Ms Breast And Cervical $219 205%
Triwest $219 205%
Vaccn $219 205%
Devoted Health $223 209%
Blue Cross Blue Shield $225 - $500 211%
Aetna $230 - $544 215%
American Health Plan $230 215%
Cigna $230 215%
Humana $230 - $562 215%
Primewell $230 215%
Shared Health $230 215%
Wellcare $230 215%
Ppo Holdings $238 223%
Magnolia Regional Health Center $250 234%
Littler $312 292%
Burch Food Services $372 348%
First State Bank Trust $372 348%
Armstrong Relocation $394 369%
Ashley Furniture Stores $394 369%
Brimhall Foods $394 369%
Building Plastic $394 369%
Cannon Motor Company $394 369%
Carlisle $394 369%
Crittenden County $394 369%
Davidson Hospitality $394 369%
Delta Industries $394 369%
Desoto Co Board Of Supervisors $394 369%
Dunn Investment Company $394 369%
First Choice Health Plan Of Ms $394 369%
First Community Bank $394 369%
French Camp Academy $394 369%
Gossett Motor Cars $394 369%
Hattiesburg Clinic $394 369%
Heartland Catfish Company $394 369%
Heavy Machines $394 369%
Hospitality Management Advisors $394 369%
Jas D Collier $394 369%
Malco Theaters $394 369%
Mechanical Systems $394 369%
Mid-South Transport $394 369%
Minact $394 369%
Patterson Warehouses $394 369%
Radians $394 369%
Rei Nation $394 369%
Retzer Resources $394 369%
Ritchey Automotive $394 369%
Security One $394 369%
Silver Tree $394 369%
State Systems $394 369%
United Tn Holdings $394 369%
Vaughn Electric $394 369%
W G Yates $394 369%
W W Wood Products $394 369%
Watkins Uiberall $394 369%
Y K Auto Group $394 369%
Employers Health Network $438 410%
Harding Academy $438 410%
Multiplan $438 410%
Ppo Plus $438 410%
Advanced Health Systems Inc. $469 439%
Ms Dept Of Rehab Services $625 585%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 220 Hwy 12 West, Kosciusko, MS 39090
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals