CMS Price Transparency Data
Ultrasound, pelvis
Facility: Anmed Health
Billing Code: 76856 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76856
- Insurance Median: $81
- Cash Discount Price: $85
- vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Anmed Health is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.76x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$85
Average discount available for prompt cash payment at this facility.
Insurance Median
$81
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: $85 (80%)
Insurance Median: $81 (76%)
Cash: $85 (80% of Medicare)
Ins. Median: $81 (76% 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.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Employee Benefit Management Services [869] | $12 - $308 | 11% |
| Preferred Administrators [19] | $14 - $660 | 13% |
| Phcs [940] | $21 - $968 | 20% |
| Medicaid / KanCare | $24 - $1,100 | 22% |
| Humana | $25 - $792 | 23% |
| Select Health Of Sc [637] | $25 - $86 | 23% |
| Aetna | $30 - $844 | 28% |
| Blue Cross Blue Shield | $30 - $1,045 | 28% |
| Devoted Health Alt Payer [9401] | $30 - $96 | 28% |
| Devoted Health [94] | $30 - $96 | 28% |
| Medicare (plans) | $30 - $1,100 | 28% |
| UnitedHealthcare | $30 - $1,100 | 28% |
| Vaccn - Va Community Care Network [16] | $30 - $94 | 28% |
| Veterans Administration [633] | $30 - $94 | 28% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $31 - $97 | 29% |
| Absolute Total Care Mcr Plans [41] | $31 - $97 | 29% |
| Absolute Total Care [58] | $31 - $151 | 29% |
| Blue Choice Health Plan [922] | $31 - $523 | 29% |
| Champva [604] | $31 - $98 | 29% |
| Cigna | $31 - $1,100 | 29% |
| First Choice Vip Careplus Alt Payer [3301] | $31 - $99 | 29% |
| First Choice Vip [33] | $31 - $99 | 29% |
| Molina Dual Options Alt Payer [1501] | $31 - $97 | 29% |
| Molina Dual Options [15] | $31 - $97 | 29% |
| Nhc Advantage Alt Payer [6101] | $31 - $99 | 29% |
| Nhc Advantage [61] | $31 - $99 | 29% |
| Tricare | $31 - $98 | 29% |
| Bright Health Alt Payer [1001] | $33 - $111 | 31% |
| Geha [302] | $41 - $583 | 38% |
| Golden Rule Ins Co [584] | $41 - $583 | 38% |
| Ambetter / Centene | $43 - $134 | 40% |
| First Choice Next [96] | $43 - $136 | 40% |
| Molina Marketplace [97] | $43 - $136 | 40% |
| Bright Health [11] | $44 - $134 | 41% |
| Mail Handlers Benefit Plan [327] | $48 - $844 | 45% |
| Rural Carrier Benefit Plan [406] | $48 - $844 | 45% |
| Workers Compensation [622] | $48 - $151 | 45% |
| Edison Health Solutions [95] | $52 - $164 | 49% |
| Healthscope [98] | $52 - $164 | 49% |
| Nalc Health Benefit Plan [291] | $54 - $601 | 51% |
| Planned Administrators [886] | $69 - $491 | 65% |
| Thomas Cooper & Company [315] | $71 - $491 | 66% |
| Medcost [206] | $80 - $990 | 75% |
| Other Hospital Payers [1991] | $122 - $1,100 | 114% |
| Coventry Health [245] | $792 - $974 | 742% |
| American Continental Ins [778] | $1,100 | 1030% |
| American Republic Life Ins [722] | $1,100 | 1030% |
| Business Office [6000] | $1,100 | 1030% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $1,100 | 1030% |
| First Health [946] | $1,100 | 1030% |
| Guarantee Trust Life Insurance [236] | $1,100 | 1030% |
| Home Health Infusion Payer [6001] | $1,100 | 1030% |
| Manhattan Life Ins Co [932] | $1,100 | 1030% |
| Miscellaneous Commercial [1] | $1,100 | 1030% |
| New Era Life Ins Co [437] | $1,100 | 1030% |
| Non-Contracted [22] | $1,100 | 1030% |
| Physicians Mutual [773] | $1,100 | 1030% |
| Reference Based Pricing/Limited Plan [21] | $1,100 | 1030% |
| State Farm Ins Co [373] | $1,100 | 1030% |
| Sterling Investors Life [244] | $1,100 | 1030% |
| Supermed/Med Mutual Of Ohio [539] | $1,100 | 1030% |
| United American Ins Co [277] | $1,100 | 1030% |