CMS Price Transparency Data
Ultrasound, pelvis
Facility: Monadnock Community Hospital
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$439
about 4.1× the $107 Medicare rate · typically $212–$981
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $439 Cash price $640 Hospital's list price $1,066
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 | $737 | 690% |
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.
Other Procedures at Monadnock Community 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.