CMS Price Transparency Data

Ultrasound, pelvis

Facility: Lincoln County Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$147

about 1.4× the $107 Medicare rate · typically $113–$194

modeled estimate · not a bill or quote

What this hospital charges insurers

$120

Below the fair price — a good deal

about $27 under the fair price · 1.1× Medicare

Medicare pays $107 Fair price $147 This hospital $120 Cash price $449 Hospital's list price $642

How we calculate the fair BaseRate →

How this hospital compares to other NM hospitals

A typical price — 2 charge more and 5 charge less, among the 9 NM hospitals compared.

Cheapest $103 Priciest $130

Black dot = this hospital, among the 9 NM 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 $147 (about 1.4× the $107 Medicare rate). Lincoln County Medical Center charges insurers about $120, or about $449 in cash — below the fair price — a good deal. Located in Ruidoso, NM.

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✓ Humana CignaKaiser 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	$112	105%
Blue Cross Blue Shieldmajor	$114 - $191	107%
Aetnamajor	$115	108%
Humanamajor	$119	111%
Molina	$117	110%
Presbyterian	$109 - $482	102%
+ 1 smaller / regional plan	$120

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 449), 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 Lincoln County 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 Lincoln County Medical Center

Compare: Ultrasound, pelvis at other NM hospitals

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