CMS Price Transparency Data

Ultrasound, pelvis

Facility: Prosser Memorial Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$74
about 0.7× the $107 Medicare rate · typically $33–$203
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
Below the fair price — a good deal
about $38 under the fair price · 0.3× Medicare
Medicare pays $107 Fair price $74 This hospital $36 Cash price $105 Hospital's list price $190

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

Lowest price of the 9 WA hospitals we have prices for — a strong deal.

Cheapest $36 Priciest $122

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

A fair price for a Ultrasound, pelvis is about $74 (about 0.7× the $107 Medicare rate). Prosser Memorial Hospital charges insurers about $36, or about $105 in cash — below the fair price — a good deal. Located in Prosser, WA.

What each insurance company pays

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

6 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 $18 - $1,103 17%
Blue Cross Blue Shieldmajor $44 - $1,241 41%
Aetnamajor $37 - $1,172 35%
Cignamajor $41 - $1,131 38%
Humanamajor $36 - $1,172 34%
Kaiser Permanentemajor $18 - $1,255 17%
Ambetter (Centene) $66 - $1,062 62%
Amerigroup $19 - $592 18%
Molina $19 - $558 18%
WellCare $36 - $345 34%
+ 6 smaller / regional plans $18 - $1,241
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 723 Memorial Street, Prosser, WA 99350
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals