CMS Price Transparency Data

Ultrasound, pelvis

Facility: Tennova Healthcare - Newport Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$103

about 1.0× the $107 Medicare rate · typically $103–$108

modeled estimate · not a bill or quote

What this hospital charges insurers

$105

About the fair price

about $2 over the fair price · 1.0× Medicare

Medicare pays $107 Fair price $103 This hospital $105 Cash price $283 Hospital's list price $1,204

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $33 Priciest $105

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

A fair price for a Ultrasound, pelvis is about $103 (about 1.0× the $107 Medicare rate). Tennova Healthcare - Newport Medical Center charges insurers about $105, or about $283 in cash — about the fair price. Located in Newport, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$42 - $1,204	39%
Blue Cross Blue Shieldmajor	$103 - $253	96%
Aetnamajor	$103 - $749	96%
Cignamajor	$137	128%
Humanamajor	$100	94%
Ambetter (Centene)	$188	176%
Amerigroup	$83 - $105	78%
Cigna HealthSpring	$103	96%
Devoted Health	$102	95%
WellCare	$104	97%
+ 8 smaller / regional plans	$47 - $220

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

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 283), 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 Tennova Healthcare - Newport Medical Center 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 Tennova Healthcare - Newport Medical Center

Compare: Ultrasound, pelvis at other TN hospitals

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