CMS Price Transparency Data

Ultrasound, pelvis

Facility: Presbyterian Community Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$44
about 0.4× the $107 Medicare rate · typically $43–$113
modeled estimate · not a bill or quote
What this hospital charges insurers
$43
About the fair price
about $1 under the fair price · 0.4× Medicare
Medicare pays $107 Fair price $44 This hospital $43 Hospital's list price $70

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

A typical price — 5 charge more and 3 charge less, among the 9 PR hospitals compared.

Cheapest $35 Priciest $57

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

A fair price for a Ultrasound, pelvis is about $44 (about 0.4× the $107 Medicare rate). Presbyterian Community Hospital charges insurers about $43 — about the fair price. Located in San Juan, PR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

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

✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaCignaKaiser 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
Humanamajor $67 63%
+ 10 smaller / regional plans $20 - $78

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Facility Profile & Credentials

  • Address: 1451 Ashford Avenue, El Condado, San Juan, PR 00907
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals