CMS Price Transparency Data

Ultrasound, pelvis

Facility: McLeod Loris Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$205

about 1.9× the $107 Medicare rate · typically $81–$332

modeled estimate · not a bill or quote

What this hospital charges insurers

$155

Below the fair price — a good deal

about $50 under the fair price · 1.4× Medicare

Medicare pays $107 Fair price $205 This hospital $155 Cash price $884 Hospital's list price $1,245

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $64 Priciest $155

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, pelvis is about $205 (about 1.9× the $107 Medicare rate). McLeod Loris Hospital charges insurers about $155, or about $884 in cash — below the fair price — a good deal. Located in Loris, SC.

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	$971	909%
Blue Cross Blue Shieldmajor	$148 - $618	139%
Aetnamajor	$996	932%
Cignamajor	$451	422%
Molina	$155	145%
SelectHealth	$148	139%
+ 1 smaller / regional plan	$152

Government programs also on file: Medicaid, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 884), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76856.

Insurance Before you use insurance

Call your insurance company to confirm McLeod Loris Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76856.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at McLeod Loris Hospital

Compare: Ultrasound, pelvis at other SC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.