CMS Price Transparency Data
Ultrasound, pelvis
Facility: Upper Connecticut Valley Hospital
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$311
about 2.9× the $107 Medicare rate · typically $106–$551
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $311 Cash price $450 Hospital's list price $811
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield✓ Aetna UnitedHealthcareCignaHumanaKaiser 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 |
|---|---|---|
| Blue Cross Blue Shieldmajor | $451 | 422% |
| Aetnamajor | $418 | 391% |
| Harvard Pilgrim | $554 - $652 | 519% |
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Other Procedures at Upper Connecticut Valley Hospital
Compare: Ultrasound, pelvis at other NH hospitals
- New London Hospital · New London $69
- Northeast Rehabilitation Hospital Network · Salem $105
- Cheshire Medical Center · Keene $111
- Wentworth-Douglass Hospital · Dover $113
- Mary Hitchcock Memorial Hospital · Lebanon $119
- Elliot Hospital · Manchester $145
- Alice Peck Day Memorial Hospital · Lebanon $306
- Catholic Medical Center · Manchester $367
Insurance negotiated median for the same procedure, sorted lowest first.