CMS Price Transparency Data

Ultrasound, pelvis

Facility: University Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$72

about 0.7× the $107 Medicare rate · typically $67–$197

modeled estimate · not a bill or quote

What this hospital charges insurers

$78

About the fair price

about $6 over the fair price · 0.7× Medicare

Medicare pays $107 Fair price $72 This hospital $78 Cash price $201 Hospital's list price $648

How we calculate the fair BaseRate →

How this hospital compares to other NV hospitals

Lowest price of the 9 NV hospitals we have prices for — a strong deal.

Cheapest $78 Priciest $131

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

A fair price for a Ultrasound, pelvis is about $72 (about 0.7× the $107 Medicare rate). University Medical Center charges insurers about $78, or about $201 in cash — about the fair price. Located in Las Vegas, NV.

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✓ Kaiser Permanente Humana

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	$31 - $217	29%
Blue Cross Blue Shieldmajor	$31 - $131	29%
Aetnamajor	$29 - $315	27%
Cignamajor	$71 - $234	66%
Kaiser Permanentemajor	$71 - $234	66%
Ambetter (Centene)	$46 - $182	43%
GEHA	$35 - $152	33%
Health Net	$35 - $595	33%
HealthPartners	$31 - $118	29%
Molina	$31 - $177	29%
SelectHealth	$31 - $174	29%
+ 66 smaller / regional plans	$29 - $420

Excludes 3 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 201), 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 University 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 University Medical Center

Compare: Ultrasound, pelvis at other NV hospitals

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