CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mountain View Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$310
about 2.9× the $107 Medicare rate · typically $113–$310
modeled estimate · not a bill or quote
What this hospital charges insurers
$249
Below the fair price — a good deal
about $61 under the fair price · 2.3× Medicare
Medicare pays $107 Fair price $310 This hospital $249 Cash price $1,419 Hospital's list price $1,419

How we calculate the fair BaseRate →

How this hospital compares to other UT hospitals

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

Cheapest $64 Priciest $249

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 $310 (about 2.9× the $107 Medicare rate). Mountain View Hospital charges insurers about $249, or about $1,419 in cash — below the fair price — a good deal. Located in Payson, UT.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Cigna UnitedHealthcareAetnaHumanaKaiser 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 $169 - $275 158%
Cignamajor $293 - $381 274%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1000 East 100 North, Payson, UT 84651
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals