CMS Price Transparency Data

Ultrasound, pelvis

Facility: Snoqualmie Valley Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $185
Cash Discount Price: $402
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at Snoqualmie Valley Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $402. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.73x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$402

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $402 (376%)

Insurance Median: $185 (173%)

Cash: $402 (376% of Medicare)

Ins. Median: $185 (173% 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
Aetna	$61 - $721	57%
Humana	$61 - $528	57%
Washington Coordinated Care	$62 - $625	58%
Community Health Plan Of Wa Mcd Rep	$63 - $579	59%
Medicaid / KanCare	$63 - $579	59%
UnitedHealthcare	$63 - $1,141	59%
Amerigroup Wellpoint	$67 - $614	63%
Molina Healthcare Of Washington Mcd Rep	$69 - $625	65%
Kaiser Foundation Health Plan Of The Northwest	$91 - $781	85%
Cigna	$115 - $992	108%
Blue Shield Of Wa Regence Mcr Adv	$122 - $528	114%
Community Health Plan Of Wa	$122 - $533	114%
Medicare (plans)	$122 - $523	114%
Molina Healthcare Of Washington Mcr Adv	$122 - $523	114%
Molina Healthcare Of Washington	$124 - $533	116%
First Choice Health Network	$130 - $868	122%
Blue Cross Blue Shield	$144 - $744	135%
Blue Shield Of Wa Regence	$144 - $225	135%

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 $402.
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 Snoqualmie Valley 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.