Ultrasound, pelvis
Facility: Lindsborg Community Hospital
Billing Code: 76856 (CPT)
- CPT Billing Code: 76856
- Insurance Median: $940
- Cash Discount Price: $1,386
- vs. Medicare Baseline: 8.80x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 880% of the Medicare baseline (a markup of 780%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $38 - $122 | 36% |
| Tricare | $931 | 872% |
| Coventry Mcr Adv | $940 | 880% |
| Cigna | $1,684 | 1577% |
| Coventry Comm-All Other Plans | $1,783 | 1669% |
| UnitedHealthcare | $1,783 | 1669% |
| Phcs Preferred-All Plans | $1,842 | 1725% |
| Multiplan-All Plans | $1,842 | 1725% |
| Health Partners -All Plans | $1,882 | 1762% |
| Century Health-All Plans | $1,882 | 1762% |
| Wppa-All Plans | $1,882 | 1762% |
| Coventry Wc | $1,882 | 1762% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure on the pelvis at Lindsborg Community Hospital, the cash price is $1,386, which is lower than the median negotiated rate of $1,684 paid by most insurance plans. This aligns with the general principle that cash-pay options can be more cost-effective for patients with high-deductible plans, as the insurance negotiated rates often exceed the cash price. The facility, a Critical Access Hospital in Lindsborg, KS, offers a cash rate that is 8.8% higher than the Medicare benchmark of $106.81, reflecting the standard markup for commercial services. To maximize savings, patients should explicitly request self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
While the hospital's negotiated rates range from $38 for Blue Cross Blue Shield to $1,882 for other carriers, the cash price remains the most transparent baseline for comparison. It is important to note that the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, but patients must still verify their specific plan details to avoid unexpected costs. Since over 80% of hospital bills contain errors, consumers are advised to request a full itemized CPT-coded bill rather than accepting a summary invoice, ensuring that all charges are accurate and unbundled codes are corrected. By comparing the facility's cash rate against the Medicare benchmark and actively seeking prompt-pay discounts, patients can make informed decisions that align with their financial situation.