Ultrasound, pelvis
Facility: Bmh-Calhoun
Billing Code: 76856 (CPT)
- CPT Billing Code: 76856
- Insurance Median: $406
- Cash Discount Price: $273
- vs. Medicare Baseline: 3.80x 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 380% of the Medicare baseline (a markup of 280%). 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 |
|---|---|---|
| Veterans Evaluation Services | $106 | 99% |
| Molina | $108 - $418 | 101% |
| PPO Holdings | $200 | 187% |
| Magnolia Regional Health Center | $210 | 197% |
| Tricare | $214 | 200% |
| Ms Breast and Cervical | $226 | 212% |
| Triwest | $226 | 212% |
| Vaccn | $226 | 212% |
| Devoted Health | $230 | 215% |
| Blue Cross Blue Shield | $233 - $420 | 218% |
| Humana | $237 - $420 | 222% |
| Primewell | $237 | 222% |
| American Health Plan | $237 | 222% |
| Aetna | $237 - $341 | 222% |
| Shared Health | $237 | 222% |
| Magnolia Ms | $257 | 241% |
| Littler | $262 | 245% |
| Cigna | $289 | 271% |
| First Choice Health Plan of Ms | $339 | 317% |
| First State Bank Trust | $384 | 360% |
| Burch Food Services | $384 | 360% |
| Crittenden County | $406 | 380% |
| Jas D Collier | $406 | 380% |
| Building Plastic | $406 | 380% |
| Ashley Furniture Stores | $406 | 380% |
| Dunn Investment Company | $406 | 380% |
| Patterson Warehouses | $406 | 380% |
| Hattiesburg Clinic | $406 | 380% |
| Malco Theaters | $406 | 380% |
| Town of Collierville | $406 | 380% |
| Eas Mssc Schools | $406 | 380% |
| Arlington Community Schools | $406 | 380% |
| Security One | $406 | 380% |
| Desoto Co Board of Supervisors | $406 | 380% |
| State Systems | $406 | 380% |
| French Camp Academy | $406 | 380% |
| Hospitality Management Advisors | $406 | 380% |
| Davidson Hospitality | $406 | 380% |
| Carlisle | $406 | 380% |
| Y K Auto Group | $406 | 380% |
| Brimhall Foods | $406 | 380% |
| Heartland Catfish Company | $406 | 380% |
| Cannon Motor Company | $406 | 380% |
| Mechanical Systems | $406 | 380% |
| City of Lakeland | $406 | 380% |
| Bartlett City Schools | $406 | 380% |
| W W Wood Products | $406 | 380% |
| Heavy Machines | $406 | 380% |
| City of Bartlett | $406 | 380% |
| Silver Tree | $406 | 380% |
| Lakeland School System | $406 | 380% |
| Ritchey Automotive | $406 | 380% |
| Vaughn Electric | $406 | 380% |
| Rei Nation | $406 | 380% |
| Hollowell Industries | $406 | 380% |
| Mid-South Transport | $406 | 380% |
| Delta Industries | $406 | 380% |
| Retzer Resources | $406 | 380% |
| Armstrong Relocation | $406 | 380% |
| United Tn Holdings | $406 | 380% |
| Collierville Schools | $406 | 380% |
| W G Yates | $406 | 380% |
| Gossett Motor Cars | $406 | 380% |
| Radians | $406 | 380% |
| Watkins Uiberall | $406 | 380% |
| First Community Bank | $406 | 380% |
| Minact | $406 | 380% |
| Christian Health Aid | $420 | 393% |
| Advanced Health Systems Inc. | $420 | 393% |
| PPO Plus | $446 | 418% |
| Employers Health Network | $452 | 423% |
| Harding Academy | $452 | 423% |
| Qca | $472 | 442% |
| Multiplan | $472 | 442% |