CMS Price Transparency Data

Ultrasound, pelvis

Facility: Hospital of Univ of Pennsylvania

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$131
about 1.2× the $107 Medicare rate · typically $106–$184
modeled estimate · not a bill or quote
What this hospital charges insurers
$198
Above the fair price
about $67 over the fair price · 1.9× Medicare
Medicare pays $107 Fair price $131 This hospital $198 Cash price $1,401 Hospital's list price $1,401

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $59 Priciest $198

Black dot = this hospital, among the 9 PA 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 $131 (about 1.2× the $107 Medicare rate). Hospital of Univ of Pennsylvania charges insurers about $198, or about $1,401 in cash — above the fair price. Located in Philadelphia, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $131. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $92 - $2,543 86%
Blue Cross Blue Shieldmajor $102 - $1,287 95%
Aetnamajor $103 - $2,543 96%
Cignamajor $113 - $1,144 106%
Humanamajor $113 - $2,034 106%
Kaiser Permanentemajor $49 - $2,543 46%
Clover Health $119 111%
Devoted Health $115 108%
Geisinger $113 - $349 106%
Health Net $155 - $1,526 145%
HealthPartners $58 - $2,543 54%
Oscar Health $187 175%
UPMC Health Plan $69 - $2,543 65%
+ 39 smaller / regional plans $21 - $2,543
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals