CMS Price Transparency Data

Ultrasound, pelvis

Facility: Intermountain Health Utah Valley Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$103
about 1.0× the $107 Medicare rate · typically $94–$109
modeled estimate · not a bill or quote
What this hospital charges insurers
$94
About the fair price
about $9 under the fair price · 0.9× Medicare
Medicare pays $107 Fair price $103 This hospital $94 Cash price $614 Hospital's list price $818

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

One of the lower prices — 7 of 8 other UT hospitals charge more for the same procedure.

Cheapest $64 Priciest $105

Black dot = this hospital, among the 9 UT 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 $103 (about 1.0× the $107 Medicare rate). Intermountain Health Utah Valley Hospital charges insurers about $94, or about $614 in cash — about the fair price. Located in Provo, UT.

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 $32 - $695 30%
Blue Cross Blue Shieldmajor $32 - $622 30%
Aetnamajor $32 - $695 30%
Cignamajor $515 - $695 482%
Humanamajor $32 - $110 30%
Health Net $695 651%
HealthPartners $32 - $105 30%
Molina $32 - $671 30%
SelectHealth $32 - $414 30%
+ 33 smaller / regional plans $11 - $736
Government programs also on file: Military & VA.
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

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Facility Profile & Credentials

  • Address: 1034 North 500 West, Provo, UT 84604
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals