CMS Price Transparency Data

Ultrasound, pelvis

Facility: Punxsutawney Area Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 1.0× the $107 Medicare rate · typically $94–$121
modeled estimate · not a bill or quote
What this hospital charges insurers
$98
About the fair price
about $5 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $103 This hospital $98 Cash price $125 Hospital's list price $338

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 $98

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 $103 (about 1.0× the $107 Medicare rate). Punxsutawney Area Hospital charges insurers about $98, or about $125 in cash — about the fair price. Located in Punxsutawney, 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 $22 - $211 21%
Blue Cross Blue Shieldmajor $19 - $1,137 18%
Aetnamajor $31 - $305 29%
Cignamajor $31 - $313 29%
Humanamajor $107 100%
Ambetter (Centene) $33 - $115 31%
AmeriHealth $31 - $107 29%
Geisinger $32 - $305 30%
UPMC Health Plan $32 - $295 30%
+ 1 smaller / regional plan $40 - $218
Government programs also on file: Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 81 Hillcrest Drive, Punxsutawney, PA 15767
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals