CMS Price Transparency Data

Ultrasound, pelvis

Facility: Ohio Valley Surgical Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$610

about 5.7× the $107 Medicare rate · typically $122–$3,953

modeled estimate · not a bill or quote

What this hospital charges insurers

$411

Below the fair price — a good deal

about $199 under the fair price · 3.8× Medicare

Medicare pays $107 Fair price $610 This hospital $411 Cash price $391 Hospital's list price $652

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

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

Cheapest $38 Priciest $411

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

A fair price for a Ultrasound, pelvis is about $610 (about 5.7× the $107 Medicare rate). Ohio Valley Surgical Hospital charges insurers about $411, or about $391 in cash — below the fair price — a good deal. Located in Springfield, OH.

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	$101 - $17,571	95%
Blue Cross Blue Shieldmajor	$101 - $40,293	95%
Aetnamajor	$101 - $20,896	95%
Cignamajor	$101 - $18,817	95%
Humanamajor	$101 - $11,919	95%
AmeriHealth	$3,657	3424%
CareSource	$152 - $17,827	142%
Devoted Health	$120 - $13,707	112%
GEHA	$119 - $20,896	111%
Medica	$178 - $17,571	167%
Molina	$101 - $11,885	95%
UniCare	$101 - $11,885	95%
WellCare	$101 - $11,885	95%
+ 41 smaller / regional plans	$101 - $20,896

Government programs also on file: Medicare, Medicaid.

Excludes 2 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 391), 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 Ohio Valley Surgical Hospital 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 Ohio Valley Surgical Hospital

Compare: Ultrasound, pelvis at other OH hospitals

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