CMS Price Transparency Data

Ultrasound, pelvis

Facility: Inspira Medical Center Vineland

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$121

about 1.1× the $107 Medicare rate · typically $121–$122

modeled estimate · not a bill or quote

What this hospital charges insurers

$122

About the fair price

about $1 over the fair price · 1.1× Medicare

Medicare pays $107 Fair price $121 This hospital $122 Cash price $571 Hospital's list price $571

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 6 of 8 other NJ hospitals charge less.

Cheapest $66 Priciest $123

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, pelvis is about $121 (about 1.1× the $107 Medicare rate). Inspira Medical Center Vineland charges insurers about $122, or about $571 in cash — about the fair price. Located in Vineland, NJ.

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	$98 - $371	92%
Blue Cross Blue Shieldmajor	$111 - $419	104%
Aetnamajor	$109 - $529	102%
Cignamajor	$394	369%
Humanamajor	$124	116%
Ambetter (Centene)	$241	226%
AmeriHealth	$144	135%
Cigna HealthSpring	$121	113%
Clover Health	$118	110%
Fidelis Care	$109	102%
WellCare	$118	110%
+ 5 smaller / regional plans	$118 - $371

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 571), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76856.

Insurance Before you use insurance

Call your insurance company to confirm Inspira Medical Center Vineland is in-network.
Ask your insurer whether prior approval is required for CPT code 76856.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Inspira Medical Center Vineland

Compare: Ultrasound, pelvis at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.