CMS Price Transparency Data

Ultrasound, pelvis

Facility: Longview Regional Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $181
  • Cash Discount Price: $489
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Longview Regional Medical Center is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $489. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 2901 N Fourth St, Longview, TX.
Cash / Self-Pay
$489

Average discount available for prompt cash payment at this facility.

Insurance Median
$181

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: $489 (458%)
Insurance Median: $181 (169%)
Cash: $489 (458% of Medicare)
Ins. Median: $181 (169% 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
Medicaid / KanCare $96 - $356 90%
UnitedHealthcare $96 - $609 90%
Superior $101 - $156 95%
Veterans Eval Services $101 95%
Healthspring $103 96%
Humana $103 96%
Medicare (plans) $103 96%
Aetna $105 - $1,481 98%
Blue Cross Blue Shield $105 - $397 98%
Node Champva $105 98%
Node Hospice Non Par Agree $105 98%
Node Triwest $105 98%
Node Va $105 98%
Tricare $105 98%
American Health Mcr Adv $107 100%
Provider Partners Health Plan $108 101%
Node Amerigroup Mcr Adv $109 102%
Wellness Pointe $126 118%
Node Us Dept Of Labor $131 123%
Self Pay $131 - $196 123%
Cigna $139 130%
Access Direct Platinum $179 168%
Node Brookshire Brothers $184 172%
Node Brookshire Brothers Work Comp Tx $195 183%
Work Comp $210 197%
Amerigroup $356 333%
Texas Rehab Commission $544 509%
Nx Health Network $696 652%
Health Smart $1,196 - $1,523 1120%
Gregg Co Detention Center $1,262 1182%
Verity Health Net $1,262 1182%
Multiplan $1,414 - $1,849 1324%
Aim Administrators $1,631 1527%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2901 N Fourth St, Longview, TX 75605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals