CMS Price Transparency Data

Ultrasound, pelvis

Facility: Englewood Hospital and Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$155

about 1.4× the $107 Medicare rate · typically $126–$183

modeled estimate · not a bill or quote

What this hospital charges insurers

$125

Below the fair price — a good deal

about $30 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $155 This hospital $125 Cash price $134 Hospital's list price $1,335

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $66 Priciest $125

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

A fair price for a Ultrasound, pelvis is about $155 (about 1.4× the $107 Medicare rate). Englewood Hospital and Medical Center charges insurers about $125, or about $134 in cash — below the fair price — a good deal. Located in Englewood, 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	$125 - $470	117%
Blue Cross Blue Shieldmajor	$125 - $774	117%
Aetnamajor	$113 - $1,001	106%
Cignamajor	$861	806%
Humanamajor	$125	117%
Amerigroup	$125 - $131	117%
AmeriHealth	$125 - $613	117%
Clover Health	$125	117%
MagnaCare	$801 - $1,068	750%
WellCare	$104 - $135	97%
+ 13 smaller / regional plans	$59 - $7,783

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

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 134), 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 Englewood Hospital and Medical Center 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 Englewood Hospital and Medical Center

Compare: Ultrasound, pelvis at other NJ hospitals

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