CMS Price Transparency Data
Ultrasound, pelvis
Facility: SSM Health St Clare Hospital - Baraboo
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$263
about 2.5× the $107 Medicare rate · typically $106–$765
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $263 Cash price $849 Hospital's list price $1,544
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
1 of 6 major insurers have a published price at this hospital
✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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 | $820 - $880 | 768% |
| Dean Health Plan | $102 | 95% |
| Molina | $76 | 71% |
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Other Procedures at SSM Health St Clare Hospital - Baraboo
Compare: Ultrasound, pelvis at other WI hospitals
- Memorial Hospital of Lafayette County · Darlington $35
- Black River Memorial Hospital · Black River Falls $35
- Vernon Memorial Hospital · Viroqua $35
- Richland Hospital · Richland Center $76
- Tomah Memorial Hospital · Tomah $97
- Upland Hills Health · Dodgeville $99
- Fort Memorial Hospital · Fort Atkinson $102
- Unitypoint Health - Meriter · Madison $102
Insurance negotiated median for the same procedure, sorted lowest first.