CMS Price Transparency Data

Ultrasound, pelvis

Facility: Intermountain Health Delta Community Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$247
about 2.3× the $107 Medicare rate · typically $84–$344
modeled estimate · not a bill or quote
What this hospital charges insurers
$339
Above the fair price
about $92 over the fair price · 3.2× Medicare
Medicare pays $107 Fair price $247 This hospital $339 Cash price $522 Hospital's list price $695

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 $339

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

A fair price for a Ultrasound, pelvis is about $247 (about 2.3× the $107 Medicare rate). Intermountain Health Delta Community Hospital charges insurers about $339, or about $522 in cash — above the fair price. Located in Delta, UT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $247. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 - $661 30%
Blue Cross Blue Shieldmajor $32 - $661 30%
Aetnamajor $32 - $668 30%
Cignamajor $339 - $661 317%
Humanamajor $32 - $223 30%
HealthPartners $32 - $223 30%
Molina $32 - $661 30%
SelectHealth $32 - $661 30%
+ 30 smaller / regional plans $32 - $668
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

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 126 South White Sage Avenue, Delta, UT 84624
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals