CMS Price Transparency Data

Ultrasound, pelvis

Facility: St James Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$375
about 3.5× the $107 Medicare rate · typically $227–$422
modeled estimate · not a bill or quote
What this hospital charges insurers
$374
About the fair price
about $1 under the fair price · 3.5× Medicare
Medicare pays $107 Fair price $375 This hospital $374 Hospital's list price $601

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

Highest price of the 9 MT hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $374

Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, pelvis is about $375 (about 3.5× the $107 Medicare rate). St James Hospital charges insurers about $374 — about the fair price. Located in Butte, MT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $108 - $511 101%
Blue Cross Blue Shieldmajor $559 - $601 523%
Aetnamajor $571 535%
Cignamajor $315 - $571 295%
Humanamajor $110 103%
GEHA $511 478%
PacificSource $421 - $571 394%
+ 6 smaller / regional plans $223 - $571

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Facility Profile & Credentials

  • Address: 400 S Clark St, Butte, MT 59701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals