CMS Price Transparency Data

Ultrasound, pelvis

Facility: Pender Memorial Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$199
about 1.9× the $107 Medicare rate · typically $143–$332
modeled estimate · not a bill or quote
What this hospital charges insurers
$156
Below the fair price — a good deal
about $43 under the fair price · 1.5× Medicare
Medicare pays $107 Fair price $199 This hospital $156 Cash price $244 Hospital's list price $543

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

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

Cheapest $83 Priciest $156

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

A fair price for a Ultrasound, pelvis is about $199 (about 1.9× the $107 Medicare rate). Pender Memorial Hospital charges insurers about $156, or about $244 in cash — below the fair price — a good deal. Located in Burgaw, NC.

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 $396 371%
Blue Cross Blue Shieldmajor $103 - $200 96%
Aetnamajor $150 - $462 140%
Cignamajor $151 - $239 141%
Humanamajor $139 - $467 130%
Ambetter (Centene) $205 192%
AmeriHealth $156 146%
CareSource $217 203%
WellCare $156 146%
+ 7 smaller / regional plans $147 - $527
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 507 E Fremont St, Burgaw, NC 28425
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals