CMS Price Transparency Data
Ultrasound, pelvis
Facility: Samaritan Hospital of Troy, New York
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$121
about 1.1× the $107 Medicare rate · typically $61–$238
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $121 Hospital's list price $137
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 - $274 | 30% |
| Cignamajor | $85 - $384 | 80% |
| Humanamajor | $29 - $274 | 27% |
| Kaiser Permanentemajor | $85 - $274 | 80% |
| Ambetter (Centene) | $85 - $274 | 80% |
| AmeriHealth | $85 - $274 | 80% |
| AvMed | $85 - $274 | 80% |
| Bright Health | $85 - $274 | 80% |
| CareSource | $85 - $274 | 80% |
| Clover Health | $85 - $274 | 80% |
| Dean Health Plan | $85 - $274 | 80% |
| Fidelis Care | $85 - $274 | 80% |
| Friday Health | $85 - $274 | 80% |
| GEHA | $60 - $274 | 56% |
| Geisinger | $85 - $274 | 80% |
| Harvard Pilgrim | $85 - $274 | 80% |
| Health Net | $85 - $274 | 80% |
| HealthLink | $85 - $274 | 80% |
| HealthPartners | $85 - $384 | 80% |
| Independent Health | $85 - $1,172 | 80% |
| MagnaCare | $85 - $1,172 | 80% |
| Medica | $85 - $274 | 80% |
| Medical Mutual | $85 - $274 | 80% |
| Meridian | $85 - $274 | 80% |
| Moda Health | $85 - $274 | 80% |
| Molina | $85 - $274 | 80% |
| MVP Health Care | $85 - $369 | 80% |
| Oscar Health | $85 - $274 | 80% |
| PacificSource | $85 - $274 | 80% |
| Paramount | $85 - $274 | 80% |
| Presbyterian | $85 - $274 | 80% |
| Priority Health | $85 - $384 | 80% |
| Providence Health Plan | $85 - $274 | 80% |
| Sanford Health Plan | $85 - $274 | 80% |
| Security Health Plan | $85 - $274 | 80% |
| SelectHealth | $85 - $274 | 80% |
| Sentara | $85 - $274 | 80% |
| Tufts Health Plan | $85 - $384 | 80% |
| UCare | $85 - $274 | 80% |
| UniCare | $85 - $300 | 80% |
| UPMC Health Plan | $85 - $274 | 80% |
| WellCare | $85 - $274 | 80% |
| WellMed | $85 - $274 | 80% |
| WellSense | $85 - $274 | 80% |
| + 1047 smaller / regional plans | $31 - $1,379 |
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.
Self-Pay How to get the cash price
Insurance Before you use insurance
Other Procedures at Samaritan Hospital of Troy, New York
Compare: Ultrasound, pelvis at other NY hospitals
- Maimonides Medical Center · Brooklyn $35
- Saratoga Hospital · Saratoga Springs $35
- F F Thompson Hospital · Canandaigua $56
- St James Hospital · Hornell $56
- Nicholas H Noyes Memorial Hospital · Dansville $56
- O'Connor Hospital · Delhi $67
- The University of Vermont Health Network-Alice Hy · Malone $71
- United Memorial Medical Center · Batavia $75
Insurance negotiated median for the same procedure, sorted lowest first.