CMS Price Transparency Data

Ultrasound, pelvis

Facility: Covenant Hospital Levelland

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$343

about 3.2× the $107 Medicare rate · typically $172–$404

modeled estimate · not a bill or quote

What this hospital charges insurers

$261

Below the fair price — a good deal

about $82 under the fair price · 2.4× Medicare

Medicare pays $107 Fair price $343 This hospital $261 Cash price $270 Hospital's list price $643

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 $261

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

A fair price for a Ultrasound, pelvis is about $343 (about 3.2× the $107 Medicare rate). Covenant Hospital Levelland charges insurers about $261, or about $270 in cash — below the fair price — a good deal. Located in Levelland, TX.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$111	104%
Blue Cross Blue Shieldmajor	$102 - $493	95%
Aetnamajor	$105	98%
+ 1 smaller / regional plan	$110

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 270), 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 Covenant Hospital Levelland 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 Covenant Hospital Levelland

Compare: Ultrasound, pelvis at other TX hospitals

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