CMS Price Transparency Data
Ultrasound, pelvis
Facility: St Marys Rehabilitation Hospital
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$141
about 1.3× the $107 Medicare rate · typically $89–$350
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $141 Cash price $781 Hospital's list price $781
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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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 | $781 | 731% |
| Aetnamajor | $781 | 731% |
| Cignamajor | $781 | 731% |
| Humanamajor | $781 | 731% |
| Ambetter (Centene) | $781 | 731% |
| + 11 smaller / regional plans | $781 |
Government programs also on file: Medicare, Medicaid.
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Other Procedures at St Marys Rehabilitation Hospital
Compare: Ultrasound, pelvis at other PA hospitals
- Reading Hospital · West Reading $59
- Penn Highlands Connellsville · Connellsville $69
- Jefferson Abington Hospital · Abington $69
- Children's Hospital of Philadelphia · Philadelphia $70
- UPMC Altoona · Altoona $71
- Pottstown Hospital · Pottstown $79
- Heritage Valley Beaver · Beaver $81
- Heritage Valley Sewickley · Sewickley $81
Insurance negotiated median for the same procedure, sorted lowest first.