CMS Price Transparency Data

Ultrasound, pelvis

Facility: Community Memorial Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $828
  • Cash Discount Price: $660
  • vs. Medicare Baseline: 7.75x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Community Memorial Hospital is $828. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $660. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.75x the Medicare baseline. Located in W180 N8085 Town Hall Rd, Menomonee Falls, WI.
Cash / Self-Pay
$660

Average discount available for prompt cash payment at this facility.

Insurance Median
$828

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: $660 (618%)
Insurance Median: $828 (775%)
Cash: $660 (618% of Medicare)
Ins. Median: $828 (775% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 775% of the Medicare baseline (a markup of 675%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Allwell $103 96%
Blue Cross Blue Shield $103 - $1,020 96%
Community Care $103 96%
Health Partners $103 - $780 96%
Humana $103 96%
Icare $103 96%
Network Health Plan $103 - $434 96%
Security Health Plan $103 96%
UnitedHealthcare $103 - $647 96%
Aetna $105 - $840 98%
Care Wisconsin/Mychoice $106 99%
Centivo $360 - $396 337%
Froedtert South $504 472%
Sheboygan Employers Health Network $515 482%
Chorus Community Health Plan $516 483%
Common Ground $720 674%
Trilogy $828 775%
Health Payment Systems $835 782%
Wisconsin Physician Services $840 786%
Aspirus $960 899%
Ibsi Passport $972 910%
Americas Choice $1,044 977%
Federated Mutual $1,044 977%
Healtheos $1,044 977%
Multiplan/Private Healthcare Systems $1,044 977%
Savility $1,044 977%
Cigna $1,056 989%
First Health Network $1,056 989%
Healthsmart $1,080 1011%
Physicians Plus $1,080 1011%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: W180 N8085 Town Hall Rd, Menomonee Falls, WI 53051
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals