CMS Price Transparency Data

Ultrasound, pelvis

Facility: Regional Medical Center

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76856
  • Insurance Median: $870
  • Cash Discount Price: $503
  • vs. Medicare Baseline: 8.15x Medicare
The contracted insurance negotiated median rate for a Ultrasound, pelvis at Regional Medical Center is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $503. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.15x the Medicare baseline. Located in 709 W Main Street, Manchester, IA.
Cash / Self-Pay
$503

Average discount available for prompt cash payment at this facility.

Insurance Median
$870

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: $503 (471%)
Insurance Median: $870 (815%)
Cash: $503 (471% of Medicare)
Ins. Median: $870 (815% 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 815% of the Medicare baseline (a markup of 715%). 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
Medical Associates Health Plan - Tri $870 815%

Consumer Guidance & Cost Commentary

For an Ultrasound, pelvis procedure at Regional Medical Center in Manchester, Iowa, the most significant price benchmark is the Medicare rate of $106.81, which serves as the federal baseline for healthcare costs. While the facility's gross charge is listed at $629, the actual amount charged to patients varies significantly based on payment method; the cash median price is $503, and the negotiated rate paid by Medical Associates Health Plan - Tri is $870. This data highlights that for patients with high-deductible plans, paying cash at the median rate of $503 could result in substantial savings compared to the insurance negotiated rate of $870, provided the patient qualifies for self-pay or prompt-pay discounts.

The facility, a Critical Access Hospital owned by the local government, operates with a rating of 4 and is located at 709 W Main Street with a zip code of 52057. It is important to note that the negotiated rate of $870 represents the contractual ceiling for in-network coverage, whereas the cash price of $503 reflects the direct payment amount. Patients should be aware that hospitals often offer prompt-pay discounts, typically ranging from 20% to 50% off the billed amount, which can further reduce the $503 cash median. To ensure the lowest possible cost, consumers are advised to request a self-pay or prompt-pay classification before check-in and to avoid automatic claims submission, which would otherwise trigger the higher negotiated rate of $870.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 709 W Main Street, Manchester, IA 52057
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals