CMS Price Transparency Data

Ultrasound, pelvis

Facility: St Peter's Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$102
about 1.0× the $107 Medicare rate · typically $68–$181
modeled estimate · not a bill or quote
What this hospital charges insurers
$115
About the fair price
about $13 over the fair price · 1.1× Medicare
Medicare pays $107 Fair price $102 This hospital $115 Hospital's list price $190

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $35 Priciest $115

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

A fair price for a Ultrasound, pelvis is about $102 (about 1.0× the $107 Medicare rate). St Peter's Hospital charges insurers about $115 — about the fair price. Located in Albany, NY.

What each insurance company pays

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

6 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 $46 - $1,379 43%
Blue Cross Blue Shieldmajor $59 - $325 55%
Aetnamajor $32 - $138 30%
Cignamajor $85 - $384 80%
Humanamajor $29 - $85 27%
Kaiser Permanentemajor $85 80%
Ambetter (Centene) $85 80%
AmeriHealth $85 80%
AvMed $85 80%
Bright Health $85 80%
CareSource $85 80%
Clover Health $85 80%
Dean Health Plan $85 80%
Fidelis Care $85 - $235 80%
Friday Health $85 80%
GEHA $60 - $85 56%
Geisinger $85 80%
Harvard Pilgrim $85 80%
Health Net $85 - $115 80%
HealthLink $85 80%
HealthPartners $85 - $384 80%
Independent Health $85 - $1,172 80%
MagnaCare $85 - $1,172 80%
Medica $85 80%
Medical Mutual $85 80%
Meridian $85 80%
Moda Health $85 80%
Molina $85 80%
MVP Health Care $85 - $369 80%
Oscar Health $85 80%
PacificSource $85 80%
Paramount $85 80%
Presbyterian $85 80%
Priority Health $85 - $384 80%
Providence Health Plan $85 80%
Sanford Health Plan $85 80%
Security Health Plan $85 80%
SelectHealth $85 80%
Sentara $85 80%
Tufts Health Plan $85 - $384 80%
UCare $85 80%
UniCare $85 - $300 80%
UPMC Health Plan $85 80%
WellCare $85 80%
WellMed $85 80%
WellSense $85 80%
+ 1049 smaller / regional plans $31 - $1,241
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 42 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 315 South Manning Boulevard, Albany, NY 12208
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals