CMS Price Transparency Data

Ultrasound, pelvis

Facility: St Christopher's Hospital for Children

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $389
Cash Discount Price: $1,653
vs. Medicare Baseline: 3.64x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at St Christopher's Hospital for Children is $389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,653. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.64x the Medicare baseline. Located in 160 East Erie Ave, Philadelphia, PA.

Cash / Self-Pay

$1,653

Average discount available for prompt cash payment at this facility.

Insurance Median

$389

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $1,653 (1548%)

Insurance Median: $389 (364%)

Cash: $1,653 (1548% of Medicare)

Ins. Median: $389 (364% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 364% of the Medicare baseline (a markup of 264%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Geisinger	$57 - $1,487	53%
Amerihealth Caritas	$58	54%
Pa Health & Wellness	$63	59%
Health Partners	$68 - $742	64%
UnitedHealthcare	$70 - $168	66%
Aetna	$81 - $2,479	76%
Upmc	$84	79%
Keystone First	$88	82%
Gateway	$103	96%
Horizon Nj Health	$135	126%
Blue Cross Blue Shield	$166 - $1,792	155%
Cigna	$172	161%
Wellpoint Nj (Formerly Amerigroup)	$876	820%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,653.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Christopher's Hospital for Children is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.