CMS Price Transparency Data

Ultrasound, pelvis

Facility: UPMC Bedford Memorial

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$108
about 1.0× the $107 Medicare rate · typically $99–$130
modeled estimate · not a bill or quote
What this hospital charges insurers
$109
About the fair price
about $1 over the fair price · 1.0× Medicare
Medicare pays $107 Fair price $108 This hospital $109 Cash price $299 Hospital's list price $499

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 $109

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

A fair price for a Ultrasound, pelvis is about $108 (about 1.0× the $107 Medicare rate). UPMC Bedford Memorial charges insurers about $109, or about $299 in cash — about the fair price. Located in Everett, PA.

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 $80 - $334 75%
Blue Cross Blue Shieldmajor $101 - $372 95%
Aetnamajor $37 - $334 35%
Cignamajor $109 - $334 102%
Humanamajor $449 420%
AmeriHealth $109 - $119 102%
Geisinger $106 99%
HealthPartners $115 108%
UPMC Health Plan $84 - $334 79%
+ 5 smaller / regional plans $109 - $449
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 10455 Lincoln Highway, Everett, PA 15537
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals