CMS Price Transparency Data

Ultrasound, pelvis

Facility: Prosser Memorial Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $158
Cash Discount Price: $105
vs. Medicare Baseline: 1.48x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Prosser Memorial Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.48x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $105 (98%)

Insurance Median: $158 (148%)

Cash: $105 (98% of Medicare)

Ins. Median: $158 (148% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Community Health Plan Of Washington	$18 - $558	17%
Coordinated Care	$18 - $558	17%
Kaiser Permanente	$18 - $1,255	17%
UnitedHealthcare	$18 - $1,103	17%
Amerigroup	$19 - $592	18%
Molina	$19 - $558	18%
Health Alliance Northwest	$36 - $345	34%
Humana	$36 - $1,172	34%
Wellcare	$36 - $345	34%
Aetna	$37 - $1,172	35%
Cigna	$41 - $1,131	38%
Premera	$44 - $1,103	41%
Asuris	$49 - $1,241	46%
Health Management Adminstrators	$49 - $1,241	46%
Regence	$49 - $1,241	46%
Ambetter / Centene	$66 - $1,062	62%
Multiplan	$158 - $1,241	148%
First Choice	$1,172	1097%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $105.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Prosser Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.