CMS Price Transparency Data

Ultrasound, pelvis

Facility: UPMC Kane

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$117

about 1.1× the $107 Medicare rate · typically $73–$242

modeled estimate · not a bill or quote

What this hospital charges insurers

$176

Above the fair price

about $59 over the fair price · 1.6× Medicare

Medicare pays $107 Fair price $117 This hospital $176 Cash price $227 Hospital's list price $379

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 $176

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 $117 (about 1.1× the $107 Medicare rate). UPMC Kane charges insurers about $176, or about $227 in cash — above the fair price. Located in Kane, 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 $117. 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.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$65 - $289	61%
Blue Cross Blue Shieldmajor	$62 - $368	58%
Aetnamajor	$65 - $227	61%
Cignamajor	$118 - $13,260	110%
AmeriHealth	$67 - $235	63%
Geisinger	$106	99%
UPMC Health Plan	$59 - $257	55%
+ 5 smaller / regional plans	$118 - $560

Excludes 1 rental-network / third-party entry (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 227), 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 UPMC Kane 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 UPMC Kane

Compare: Ultrasound, pelvis at other PA hospitals

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