CMS Price Transparency Data

Ultrasound, pelvis

Facility: Healthalliance Hospital Marys Avenue Campus

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$193

about 1.8× the $107 Medicare rate · typically $160–$324

modeled estimate · not a bill or quote

What this hospital charges insurers

$193

About the fair price

1.8× Medicare

Medicare pays $107 Fair price $193 This hospital $193 Cash price $858 Hospital's list price $858

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 $193

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, pelvis is about $193 (about 1.8× the $107 Medicare rate). Healthalliance Hospital Marys Avenue Campus charges insurers about $193, or about $858 in cash — about the fair price. Located in Kingston, NY.

What each insurance company pays

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

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$179	168%
Blue Cross Blue Shieldmajor	$130 - $815	122%
Aetnamajor	$130 - $858	122%
CDPHP	$601	563%
MagnaCare	$601 - $686	563%
Molina	$136	127%
MVP Health Care	$130 - $558	122%
+ 13 smaller / regional plans	$130 - $858

Government programs also on file: Medicare, Military & VA.

Excludes 4 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 858), 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 Healthalliance Hospital Marys Avenue Campus 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 Healthalliance Hospital Marys Avenue Campus

Compare: Ultrasound, pelvis at other NY hospitals

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