CMS Price Transparency Data

Ultrasound, pelvis

Facility: South Texas Health System

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$115

about 1.1× the $107 Medicare rate · typically $97–$276

modeled estimate · not a bill or quote

What this hospital charges insurers

$99

Below the fair price — a good deal

about $16 under the fair price · 0.9× Medicare

Medicare pays $107 Fair price $115 This hospital $99 Cash price $1,506 Hospital's list price $3,764

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $32 Priciest $99

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, pelvis is about $115 (about 1.1× the $107 Medicare rate). South Texas Health System charges insurers about $99, or about $1,506 in cash — below the fair price — a good deal. Located in Edinburg, TX.

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	$96	90%
Blue Cross Blue Shieldmajor	$96 - $101	90%
Aetnamajor	$596 - $2,110	558%
Cignamajor	$99 - $1,869	93%
Humanamajor	$118	110%
Molina	$101	95%
+ 3 smaller / regional plans	$99 - $1,876

Excludes 1 rental-network / third-party entry (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 1,506), 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 South Texas Health System 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 South Texas Health System

Compare: Ultrasound, pelvis at other TX hospitals

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