CMS Price Transparency Data

Ultrasound, pelvis

Facility: Maury Regional Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $104
  • Cash Discount Price: $364
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Maury Regional Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $364. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 1224 Trotwood Ave, Columbia, TN.
Cash / Self-Pay
$364

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $364 (341%)
Insurance Median: $104 (97%)
Cash: $364 (341% of Medicare)
Ins. Median: $104 (97% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
UnitedHealthcare $54 - $252 51%
Blue Cross Blue Shield $58 - $250 54%
Wellpoint $86 - $128 81%
Wellpoint Tci $86 81%
Humana $88 - $102 82%
Cigna $96 - $679 90%
Farm Bureau Health Plans $96 - $102 90%
Medicare (plans) $96 - $102 90%
Aetna $99 - $698 93%
American Health Plans $99 - $102 93%
Nhc $99 - $106 93%
Wellcare Harmony Health $99 - $106 93%
Medrisk $144 135%
State Of Tennessee $144 135%
Ambetter / Centene $179 - $242 168%
Oscar $245 - $261 229%
Wayne County Jail $388 363%
Lawrence County Jail $581 544%
Lewis County Jail $581 544%
Marshall County Jail $581 544%
Beech Street $620 580%
Multiplan $620 580%
Phcs $620 580%
Firsthealth $744 697%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1224 Trotwood Ave, Columbia, TN 38401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals