CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mid-Columbia Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $131
  • Cash Discount Price: $258
  • vs. Medicare Baseline: 1.23x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Mid-Columbia Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $258. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.23x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.
Cash / Self-Pay
$258

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $258 (242%)
Insurance Median: $131 (123%)
Cash: $258 (242% of Medicare)
Ins. Median: $131 (123% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $32 - $2,359 30%
Community Hp Mcr Adv - All Plans $32 - $124 30%
Molina Mcr Adv $32 - $124 30%
Tricare $32 - $124 30%
Va Ccn Triwest - All Plans $32 - $124 30%
Healthnet Mcr Adv $33 - $127 31%
Humana $33 - $131 31%
Moda Mcr Adv $33 - $124 31%
Devoted Mcr Adv - All Plans $35 - $799 33%
Employee Health Plan - All Plans $35 - $224 33%
Molina - All Other Plans $35 - $137 33%
Aetna $38 - $683 36%
Healthnet - All Other Plans $47 44%
Cigna $54 - $697 51%
Multiplan/Phcs - All Plans $54 - $703 51%
Coventry - All Plans $60 - $666 56%
First Choice - All Plans $61 - $703 57%
Providence Ppo - All Plans $64 - $703 60%
Moda Health Plan - All Other Plans $67 - $488 63%
Molina Mcaid $174 - $385 163%
Amerigroup Mcaid - All Plans $335 - $385 314%
Coordinated Care Mcaid - All Plans $335 - $385 314%
Norocor - All Plans $370 346%
UnitedHealthcare $385 - $703 360%
Healthscape - All Plans $592 554%
First Health - All Plans $659 617%
Pacific Source - All Plans $681 638%
Trpn - Three Rivers - All Plans $703 658%
Ahp - Americas Hlth Plan - All Plans $718 672%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 E 19Th Street, The Dalles, OR 97058
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals