CMS Price Transparency Data

Ultrasound, pelvis

Facility: Trident Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $470
Cash Discount Price: $2,624
vs. Medicare Baseline: 4.40x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Trident Medical Center is $470. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,624. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.40x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$2,624

Average discount available for prompt cash payment at this facility.

Insurance Median

$470

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: $2,624 (2457%)

Insurance Median: $470 (440%)

Cash: $2,624 (2457% of Medicare)

Ins. Median: $470 (440% 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 440% of the Medicare baseline (a markup of 340%). 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
Aetna	$67 - $302	63%
Blue Choice	$99	93%
United	$99 - $1,181	93%
Select Health	$126	118%
Sc State Employees	$150	140%
Absolute Total Care	$186 - $472	174%
Blue Choice Health Plan	$245	229%
Blue Cross Blue Shield	$245 - $2,493	229%
Nhc Advantage	$499	467%
Pruitt Health	$499	467%
Medcost	$1,002 - $1,475	938%
Employers Health Network	$1,181	1106%
Occunet	$1,312	1228%
Vocational Rehab	$1,417	1327%
Humana	$1,706 - $1,968	1597%
First Health	$1,916	1794%
Mhnet	$1,968	1843%
Evernorth	$2,099	1965%
Multiplan	$2,230	2088%
Prime Health	$2,230	2088%
Novanet	$2,362	2211%

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 $2,624.
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 Trident Medical Center 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.