CMS Price Transparency Data

Ultrasound, pelvis

Facility: Rhea Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$167

about 1.6× the $107 Medicare rate · typically $97–$444

modeled estimate · not a bill or quote

What this hospital charges insurers

$144

Below the fair price — a good deal

about $23 under the fair price · 1.3× Medicare

Medicare pays $107 Fair price $167 This hospital $144 Cash price $307 Hospital's list price $451

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 $144

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 $167 (about 1.6× the $107 Medicare rate). Rhea Medical Center charges insurers about $144, or about $307 in cash — below the fair price — a good deal. Located in Dayton, TN.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Cigna✓ Humana UnitedHealthcareAetnaKaiser 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
Blue Cross Blue Shieldmajor	$129 - $224	121%
Cignamajor	$361	338%
Humanamajor	$143	134%

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 307), 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 Rhea 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 Rhea Medical Center

Compare: Ultrasound, pelvis at other TN hospitals

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