CMS Price Transparency Data

Ultrasound, pelvis

Facility: The Miriam Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$222
about 2.1× the $107 Medicare rate · typically $114–$222
modeled estimate · not a bill or quote
What this hospital charges insurers
$215
About the fair price
about $7 under the fair price · 2.0× Medicare
Medicare pays $107 Fair price $222 This hospital $215 Cash price $340 Hospital's list price $340

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

A typical price — 2 charge more and 2 charge less, among the 5 RI hospitals compared.

Cheapest $118 Priciest $224

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, pelvis is about $222 (about 2.1× the $107 Medicare rate). The Miriam Hospital charges insurers about $215, or about $340 in cash — about the fair price. Located in Providence, RI.

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 $205 - $230 192%
Blue Cross Blue Shieldmajor $101 - $237 95%
Aetnamajor $120 112%
Cignamajor $660 618%
Harvard Pilgrim $482 451%
Tufts Health Plan $585 548%
+ 1 smaller / regional plan $215

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals