CMS Price Transparency Data

Ultrasound, pelvis

Facility: Hospital Metropolitano Dr Pila

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$63
about 0.6× the $107 Medicare rate · typically $39–$129
modeled estimate · not a bill or quote
What this hospital charges insurers
$45
Below the fair price — a good deal
about $18 under the fair price · 0.4× Medicare
Medicare pays $107 Fair price $63 This hospital $45 Cash price $100 Hospital's list price $100

How we calculate the fair BaseRate →

How this hospital compares to other PR hospitals

A typical price — 2 charge more and 5 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 $63 (about 0.6× the $107 Medicare rate). Hospital Metropolitano Dr Pila charges insurers about $45, or about $100 in cash — below the fair price — a good deal. Located in Ponce, PR.

What each insurance company pays

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

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

✓ Cigna✓ Humana UnitedHealthcareBlue Cross Blue ShieldAetnaKaiser 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
Cignamajor $42 39%
Humanamajor $37 - $46 35%
WellCare $45 42%
+ 15 smaller / regional plans $19 - $78
Government programs also on file: Military & VA.

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Facility Profile & Credentials

  • Address: 2435 Boulevard Luis A Ferre, Ponce, PR 00717
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals