CMS Price Transparency Data

Ultrasound, pelvis

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$150

about 1.4× the $107 Medicare rate · typically $120–$300

modeled estimate · not a bill or quote

What this hospital charges insurers

$148

About the fair price

about $2 under the fair price · 1.4× Medicare

Medicare pays $107 Fair price $150 This hospital $148 Hospital's list price $1,372

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 $148

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 $150 (about 1.4× the $107 Medicare rate). Atlanticare Regional Medical Center - City Campus charges insurers about $148 — about the fair price. Located in Atlantic City, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$174 - $796	163%
Blue Cross Blue Shieldmajor	$1,129	1057%
Aetnamajor	$789 - $1,133	739%
Cignamajor	$576 - $691	539%
AmeriHealth	$882 - $1,153	826%
Devoted Health	$121	113%
Health Net	$960 - $1,303	899%
HealthPartners	$235	220%
MagnaCare	$549 - $1,235	514%
WellCare	$189	177%
+ 29 smaller / regional plans	$174 - $1,303

Government programs also on file: Military & VA.

Excludes 6 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, 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 Atlanticare Regional Medical Center - City Campus 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 Atlanticare Regional Medical Center - City Campus

Compare: Ultrasound, pelvis at other NJ hospitals

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