CMS Price Transparency Data

Ultrasound, pelvis

Facility: Monmouth Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$153

about 1.4× the $107 Medicare rate · typically $126–$172

modeled estimate · not a bill or quote

What this hospital charges insurers

$172

About the fair price

about $19 over the fair price · 1.6× Medicare

Medicare pays $107 Fair price $153 This hospital $172 Cash price $249 Hospital's list price $1,138

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 $172

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 $153 (about 1.4× the $107 Medicare rate). Monmouth Medical Center charges insurers about $172, or about $249 in cash — about the fair price. Located in Long Branch, 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	$119 - $283	111%
Blue Cross Blue Shieldmajor	$108 - $1,101	101%
Aetnamajor	$118 - $310	110%
Cignamajor	$382	358%
Humanamajor	$118	110%
AmeriHealth	$130	122%
Clover Health	$118	110%
Fidelis Care	$118 - $288	110%
WellCare	$234	219%
+ 2 smaller / regional plans	$166 - $932

Excludes 1 rental-network / third-party entry (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 249), 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 Monmouth 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 Monmouth Medical Center

Compare: Ultrasound, pelvis at other NJ hospitals

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