CMS Price Transparency Data

Ultrasound, pelvis

Facility: Thedacare Medical Center - New London

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$335
about 3.1× the $107 Medicare rate · typically $123–$487
modeled estimate · not a bill or quote
What this hospital charges insurers
$368
About the fair price
about $33 over the fair price · 3.4× Medicare
Medicare pays $107 Fair price $335 This hospital $368 Cash price $442 Hospital's list price $790

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

Highest price of the 9 WI hospitals we have prices for — worth calling around.

Cheapest $35 Priciest $368

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

A fair price for a Ultrasound, pelvis is about $335 (about 3.1× the $107 Medicare rate). Thedacare Medical Center - New London charges insurers about $368, or about $442 in cash — about the fair price. Located in New London, WI.

What each insurance company pays

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

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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 $245 - $552 229%
Blue Cross Blue Shieldmajor $627 587%
HealthPartners $242 227%
+ 2 smaller / regional plans $422 - $514
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 1405 Mill St, New London, WI 54961
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals