CMS Price Transparency Data
Ultrasound, pelvis
Facility: University Medical Center
Billing Code: 76856 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76856
- Insurance Median: $78
- Cash Discount Price: $201
- vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at University Medical Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $201. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.73x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$201
Average discount available for prompt cash payment at this facility.
Insurance Median
$78
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $201 (188%)
Insurance Median: $78 (73%)
Cash: $201 (188% of Medicare)
Ins. Median: $78 (73% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantra Freedom | $29 - $118 | 27% |
| Aetna | $29 - $315 | 27% |
| Allwell | $31 - $118 | 29% |
| American Postal Workers Health Plan | $31 - $217 | 29% |
| Arroweye Solutions | $31 - $101 | 29% |
| Blue Cross Blue Shield | $31 - $131 | 29% |
| Boyd Group | $31 - $101 | 29% |
| Bricklayers Local 13 | $31 - $101 | 29% |
| Caesar'S Entertainment | $31 - $112 | 29% |
| California Ironwork Field Welfare | $31 - $101 | 29% |
| City Of Henderson | $31 - $101 | 29% |
| City Of North Las Vegas | $31 - $228 | 29% |
| Clark County Epo | $31 - $101 | 29% |
| Clark County Self Funded | $31 - $101 | 29% |
| Dignity Health | $31 - $101 | 29% |
| Electrical Workers | $31 - $101 | 29% |
| Golden Entertainment | $31 - $101 | 29% |
| Golden Nugget Hotel & Casino | $31 - $101 | 29% |
| Healthcare Partners Of Nevada | $31 - $118 | 29% |
| Laborers Health And Welfare | $31 - $101 | 29% |
| Las Vegas Firefighters 1285 | $31 - $101 | 29% |
| Las Vegas Metro Police Dept | $31 - $101 | 29% |
| Las Vegas Sand Corps | $31 - $217 | 29% |
| Marshall Retail Group | $31 - $101 | 29% |
| Mgm Grand | $31 - $101 | 29% |
| Mirage Las Vegas | $31 - $101 | 29% |
| Molina | $31 - $177 | 29% |
| Operating Engineers | $31 - $101 | 29% |
| P3 Health Partners | $31 - $101 | 29% |
| P3 Health Partners Nevada | $31 - $118 | 29% |
| Pli Las Vegas | $31 - $101 | 29% |
| Plumbers & Pipefitters Loc 525 | $31 - $101 | 29% |
| Rebel Oil Company | $31 - $101 | 29% |
| Resorts World Las Vegas | $31 - $101 | 29% |
| Selecthealth | $31 - $174 | 29% |
| Sheet Metal Workers | $31 - $101 | 29% |
| Sierra Health And Life | $31 - $135 | 29% |
| So Ca Pipe Trades H&W | $31 - $101 | 29% |
| Southwest Carpenters H&W | $31 - $101 | 29% |
| State Of Nevada | $31 - $101 | 29% |
| Stations Casinos | $31 - $101 | 29% |
| Surest | $31 - $217 | 29% |
| Switch | $31 - $101 | 29% |
| Teacher'S Health Trust | $31 - $101 | 29% |
| Teamsters Local 14 | $31 - $101 | 29% |
| Teamsters Local 631 | $31 - $101 | 29% |
| Teamsters Local 986 | $31 - $101 | 29% |
| Truline Corporation | $31 - $101 | 29% |
| Ufcw Local 711 Retail Clerks | $31 - $101 | 29% |
| UnitedHealthcare | $31 - $217 | 29% |
| Va Pc3 (Va Choice) | $31 - $118 | 29% |
| Venetian/Palazzo | $31 - $101 | 29% |
| Wynn Resorts | $31 - $101 | 29% |
| Alignment Health | $33 - $118 | 31% |
| Scan | $33 - $118 | 31% |
| Clark County Firefighters 1908 | $35 - $112 | 33% |
| Coventry | $35 - $152 | 33% |
| Employee Painters Trust | $35 - $112 | 33% |
| First Health | $35 - $165 | 33% |
| Geha | $35 - $152 | 33% |
| Health Net | $35 - $595 | 33% |
| Mail Handlers Benefit Plan | $35 - $152 | 33% |
| Nevada Energy | $35 - $141 | 33% |
| Three Rivers Provider Network | $35 - $165 | 33% |
| Aig | $36 - $89 | 34% |
| Beech Street | $36 - $89 | 34% |
| Cement Masons & Plasters H&W | $36 - $89 | 34% |
| Culinary Workers Hwf | $38 - $125 | 36% |
| Ambetter / Centene | $46 - $182 | 43% |
| Laughlin Coalition | $46 - $273 | 43% |
| Hometown Health Plan Nevada | $47 - $152 | 44% |
| Jw Marriott | $47 - $235 | 44% |
| Nevada Preferred Professionals | $47 - $235 | 44% |
| One Health Plan | $47 - $152 | 44% |
| Prominence Health Plan | $47 - $235 | 44% |
| Universal Health Network (Uhn) | $47 - $235 | 44% |
| Health Direct Partners | $52 - $189 | 49% |
| Zuffa | $70 - $420 | 66% |
| Cigna | $71 - $234 | 66% |
| Cirque De Soleil | $71 - $234 | 66% |
| Great West Healthcare | $71 - $234 | 66% |
| Kaiser | $71 - $234 | 66% |
| National Security Technologies | $71 - $234 | 66% |