CMS Price Transparency Data

Ultrasound, pelvis

Facility: Curry General Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $631
Cash Discount Price: $664
vs. Medicare Baseline: 5.91x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Curry General Hospital is $631. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $664. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.91x the Medicare baseline. Located in 94220 Fourth Street, Gold Beach, OR.

Cash / Self-Pay

$664

Average discount available for prompt cash payment at this facility.

Insurance Median

$631

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: $664 (622%)

Insurance Median: $631 (591%)

Cash: $664 (622% of Medicare)

Ins. Median: $631 (591% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 591% of the Medicare baseline (a markup of 491%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$79 - $664	74%
Partnership Health Plan Of Calif Mdcd Hmo [2008]	$98	92%
Tricare	$207	194%
Covid19 Hrsa Uninsured Testing And Treatment Fund [2271]	$288	270%
Medicare (plans)	$288 - $432	270%
First Choice Health Admin [1294]	$308	288%
First Choice [528]	$308	288%
Medicaid / KanCare	$418 - $432	391%
Department Of Corrections [1051]	$432	404%
Coordinated Care Commercial [1649]	$564	528%
Pacificsource [1148]	$564	528%
Moda [512]	$570 - $598	534%
Multiplan [1131]	$604	565%
Asuris [1258]	$631	591%
Operating Engineers [1144]	$631	591%
Regence [1351]	$631 - $664	591%
Cigna	$651 - $664	609%
Coventry First Health Managed Care [1774]	$651	609%
Coventry Health [1046]	$651	609%
Providence Health Plan Plm Alt [1692]	$651	609%
Providence Health Plan [567]	$651	609%
Aetna	$664	622%
Employee Bene Admin Mgmt [525]	$664	622%
Geha [531]	$664	622%
Mailhandlers Benefit Pln [547]	$664	622%
Meritain [550]	$664	622%
Nw Sheet Metal Workers [597]	$664	622%
Trustmark [524]	$664	622%
UnitedHealthcare	$664	622%
Zenith Administrators [586]	$664	622%
Allcare Alt [2598]	$1,500	1404%
Allcare [1695]	$1,500	1404%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $664.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Curry General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.