CMS Price Transparency Data

Ultrasound, pelvis

Facility: Sanford Vermillion Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $554
Cash Discount Price: $629
vs. Medicare Baseline: 5.19x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Sanford Vermillion Medical Center is $554. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $629. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.19x the Medicare baseline. Located in 20 South Plum Street, Vermillion, SD.

Cash / Self-Pay

$629

Average discount available for prompt cash payment at this facility.

Insurance Median

$554

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: $629 (589%)

Insurance Median: $554 (519%)

Cash: $629 (589% of Medicare)

Ins. Median: $554 (519% 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 519% of the Medicare baseline (a markup of 419%). 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
Sanford Health Plan Align	$232	217%
Wellmark Sd	$239	224%
Ucare	$256 - $691	240%
Aetna	$259 - $683	242%
Health Partners	$259 - $590	242%
Medicare (plans)	$259	242%
UnitedHealthcare	$259 - $656	242%
Primewest	$264	247%
Sanford Health Plan	$311 - $417	291%
Security Health Plan	$432	404%
Medica	$648 - $693	607%
Wellmark	$676 - $684	633%
First Choice Health Network	$707	662%
Healthez	$707	662%
Multiplan	$707	662%

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 $629.
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 Sanford Vermillion 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.