CMS Price Transparency Data

Ultrasound, pelvis

Facility: Boone Memorial Hospital

Billing Code: 76856 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$188
about 1.8× the $107 Medicare rate · typically $72–$242
modeled estimate · not a bill or quote
What this hospital charges insurers
$182
About the fair price
about $6 under the fair price · 1.7× Medicare
Medicare pays $107 Fair price $188 This hospital $182 Cash price $325 Hospital's list price $649

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

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

Cheapest $43 Priciest $182

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

A fair price for a Ultrasound, pelvis is about $188 (about 1.8× the $107 Medicare rate). Boone Memorial Hospital charges insurers about $182, or about $325 in cash — about the fair price. Located in Madison, WV.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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 $182 170%
Aetnamajor $182 - $617 170%
Cignamajor $484 453%
Humanamajor $178 167%
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 701 Madison Avenue, Madison, WV 25130
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals