CMS Price Transparency Data

Ultrasound, pelvis

Facility: Tristar Centennial Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $401
Cash Discount Price: $2,046
vs. Medicare Baseline: 3.75x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Tristar Centennial Medical Center is $401. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,046. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.75x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$2,046

Average discount available for prompt cash payment at this facility.

Insurance Median

$401

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: $2,046 (1916%)

Insurance Median: $401 (375%)

Cash: $2,046 (1916% of Medicare)

Ins. Median: $401 (375% 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 375% of the Medicare baseline (a markup of 275%). 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
Blue Cross Blue Shield	$60 - $115	56%
Humana	$129 - $1,330	121%
Aetna	$148 - $1,023	139%
United	$155 - $921	145%
Cigna	$231 - $1,637	216%
Kentucky Labor Cabinet	$377	353%
Apex Health	$389	364%
Nhc Advantage, Inc.	$389	364%
Pruitt Health (Allyalign)	$389	364%
Tennessee Donor Services	$554	519%
Centurion	$843	789%
Emerging Therapy Solutions	$1,002 - $1,371	938%
Bgfh Singlesource	$1,023 - $1,739	958%
Value Option	$1,023	958%
Multiplan	$1,125	1053%
Southern Health Partners	$1,227	1149%
Employers Health Network	$1,432	1341%
Mhnet	$1,534	1436%
Odom'S Tn Pride Sausage	$1,534	1436%
Compsych	$1,637	1533%
Beech Street	$1,800	1685%
Prime Health	$1,800	1685%
UnitedHealthcare	$1,821 - $2,046	1705%

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 $2,046.
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 Tristar Centennial 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.