CMS Price Transparency Data

Ultrasound, pelvis

Facility: Flushing Hospital Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$132

about 1.2× the $107 Medicare rate · typically $104–$246

modeled estimate · not a bill or quote

What this hospital charges insurers

$138

About the fair price

about $6 over the fair price · 1.3× Medicare

Medicare pays $107 Fair price $132 This hospital $138 Cash price $254 Hospital's list price $254

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 $138

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 $132 (about 1.2× the $107 Medicare rate). Flushing Hospital Medical Center charges insurers about $138, or about $254 in cash — about the fair price. Located in Flushing, NY.

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✓ 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	$33 - $200	31%
Blue Cross Blue Shieldmajor	$206	193%
Aetnamajor	$130 - $156	122%
Cignamajor	$218	204%
Humanamajor	$131 - $138	123%
EmblemHealth	$203	190%
Fidelis Care	$123 - $130	115%
MagnaCare	$149	140%
Oscar Health	$182	170%
WellCare	$135	126%
+ 14 smaller / regional plans	$66 - $1,912

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 254), 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 Flushing Hospital 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 Flushing Hospital Medical Center

Compare: Ultrasound, pelvis at other NY hospitals

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