Ultrasound, pelvis
Facility: Baptist Medical Center Attala
Billing Code: 76856 (CPT)
- CPT Billing Code: 76856
- Insurance Median: $394
- Cash Discount Price: $275
- vs. Medicare Baseline: 3.69x 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 369% of the Medicare baseline (a markup of 269%). 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 |
|---|---|---|
| Magnolia Ms | $93 - $230 | 87% |
| Veterans Evaluation Services | $93 | 87% |
| Molina | $95 - $405 | 89% |
| Coventry | $135 | 126% |
| UnitedHealthcare | $139 | 130% |
| Tricare | $208 | 195% |
| Vaccn | $219 | 205% |
| Triwest | $219 | 205% |
| Ms Breast and Cervical | $219 | 205% |
| Devoted Health | $223 | 209% |
| Blue Cross Blue Shield | $225 - $500 | 211% |
| Cigna | $230 | 215% |
| Wellcare | $230 | 215% |
| American Health Plan | $230 | 215% |
| Shared Health | $230 | 215% |
| Aetna | $230 - $544 | 215% |
| Humana | $230 - $562 | 215% |
| Primewell | $230 | 215% |
| PPO Holdings | $238 | 223% |
| Magnolia Regional Health Center | $250 | 234% |
| Littler | $312 | 292% |
| Burch Food Services | $372 | 348% |
| First State Bank Trust | $372 | 348% |
| Mechanical Systems | $394 | 369% |
| Carlisle | $394 | 369% |
| Hospitality Management Advisors | $394 | 369% |
| First Community Bank | $394 | 369% |
| Mid-South Transport | $394 | 369% |
| Heavy Machines | $394 | 369% |
| Hattiesburg Clinic | $394 | 369% |
| Silver Tree | $394 | 369% |
| Vaughn Electric | $394 | 369% |
| French Camp Academy | $394 | 369% |
| Radians | $394 | 369% |
| Brimhall Foods | $394 | 369% |
| Minact | $394 | 369% |
| Delta Industries | $394 | 369% |
| Patterson Warehouses | $394 | 369% |
| Jas D Collier | $394 | 369% |
| First Choice Health Plan of Ms | $394 | 369% |
| United Tn Holdings | $394 | 369% |
| Malco Theaters | $394 | 369% |
| Retzer Resources | $394 | 369% |
| Desoto Co Board of Supervisors | $394 | 369% |
| Cannon Motor Company | $394 | 369% |
| Heartland Catfish Company | $394 | 369% |
| Gossett Motor Cars | $394 | 369% |
| Dunn Investment Company | $394 | 369% |
| Y K Auto Group | $394 | 369% |
| Ashley Furniture Stores | $394 | 369% |
| State Systems | $394 | 369% |
| W G Yates | $394 | 369% |
| Security One | $394 | 369% |
| Crittenden County | $394 | 369% |
| Building Plastic | $394 | 369% |
| Watkins Uiberall | $394 | 369% |
| Rei Nation | $394 | 369% |
| W W Wood Products | $394 | 369% |
| Armstrong Relocation | $394 | 369% |
| Davidson Hospitality | $394 | 369% |
| Ritchey Automotive | $394 | 369% |
| Multiplan | $438 | 410% |
| PPO Plus | $438 | 410% |
| Harding Academy | $438 | 410% |
| Employers Health Network | $438 | 410% |
| Advanced Health Systems Inc. | $469 | 439% |
| Ms Dept of Rehab Services | $625 | 585% |