CMS Price Transparency Data
Ultrasound, pelvis
Facility: Southwest Health Center
Billing Code: 76856 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$673
about 6.3× the $107 Medicare rate · typically $130–$673
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $673 Cash price $524 Hospital's list price $699
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 | $217 - $573 | 203% |
| Blue Cross Blue Shieldmajor | $210 - $699 | 197% |
| Cignamajor | $524 | 491% |
| Humanamajor | $629 | 589% |
| Dean Health Plan | $620 | 580% |
| Quartz | $433 - $545 | 405% |
| + 5 smaller / regional plans | $210 - $699 |
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Other Procedures at Southwest Health Center
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.