CMS Price Transparency Data

Ultrasound, pelvis

Facility: Stillwater Billings Clinic

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $146
  • Cash Discount Price: $348
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Stillwater Billings Clinic is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.37x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$348

Average discount available for prompt cash payment at this facility.

Insurance Median
$146

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: $348 (326%)
Insurance Median: $146 (137%)
Cash: $348 (326% of Medicare)
Ins. Median: $146 (137% 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
Humana $31 - $402 29%
Pacific Source Mcr Advantage $31 - $398 29%
Tricare $31 - $398 29%
Blue Cross Blue Shield $32 - $556 30%
All Savers-All Plans $53 - $556 50%
Allegiance Direct Ppo - All Other Plans $53 - $556 50%
Allegiance State Of Mt $53 - $819 50%
UnitedHealthcare $53 - $556 50%
Aetna $57 - $567 53%
Boon Chapman First Choice Health $57 - $567 53%
Cigna $57 - $556 53%
Ebms First Choice Health $57 - $567 53%
First Choice- All Plans $57 - $567 53%
Mountain Health Coop - All Plans $57 - $538 53%
Pacific Source Billings Clinic $57 - $439 53%
Pacific Source Voyager - All Other Plans $57 - $556 53%
Pacificsource Nav $57 - $556 53%
Rci First Choice Health - All Other Plans $57 - $567 53%
Rci Wyoben $57 - $526 53%
Trustmark First Choice Health $57 - $567 53%
Wyo-Ben Inc- All Plans $57 - $526 53%
Zenith First Choice Health- All Plans $57 - $567 53%
Pacific Steel Direct - All Plans $63 - $410 59%
Ebms Interwest $91 - $556 85%
Gpa Interwest- All Plans $91 - $556 85%
Interwest Health-All Plans $91 - $556 85%
Rci Interwest $91 - $556 85%
Allied Core Value $96 - $509 90%
Ebms Town Pump $99 - $556 93%
Town Pump Inc- All Plans $99 - $556 93%
Blackhawk - All Plans $104 - $556 97%
Mtada- All Plans $104 - $556 97%
Prodegi (Y-Tex Corp)- All Plans $104 - $556 97%
Murdoch Oil - All Plans $107 - $567 100%
Ryegate Public Schools - All Plans $107 - $567 100%
Savatree - All Plans $107 - $567 100%
Tabs - All Plans $107 - $567 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals