CMS Price Transparency Data

Ultrasound, pelvis

Facility: St Charles Medical Center - Bend

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$169

about 1.6× the $107 Medicare rate · typically $125–$169

modeled estimate · not a bill or quote

What this hospital charges insurers

$166

About the fair price

about $3 under the fair price · 1.6× Medicare

Medicare pays $107 Fair price $169 This hospital $166 Cash price $486 Hospital's list price $607

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $36 Priciest $166

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

A fair price for a Ultrasound, pelvis is about $169 (about 1.6× the $107 Medicare rate). St Charles Medical Center - Bend charges insurers about $166, or about $486 in cash — about the fair price. Located in Bend, OR.

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	$124 - $705	116%
Blue Cross Blue Shieldmajor	$137 - $383	128%
Aetnamajor	$124 - $664	116%
Cignamajor	$124 - $481	116%
Humanamajor	$124	116%
Kaiser Permanentemajor	$97 - $661	91%
Devoted Health	$124	116%
Health Net	$124 - $717	116%
Moda Health	$249 - $656	233%
PacificSource	$103 - $417	96%
Providence Health Plan	$249 - $668	233%
UniCare	$124	116%
WellCare	$124	116%
+ 69 smaller / regional plans	$97 - $748

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

Excludes 5 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 486), 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 St Charles Medical Center - Bend 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 St Charles Medical Center - Bend

Compare: Ultrasound, pelvis at other OR hospitals

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