Pelvic ultrasound at MedStar Good Samaritan Hospital
5601 Loch Raven Blvd, Baltimore, MD 21239. From the hospital's federally required price file (v3.0.0), file date April 1, 2026 — source file. Last verified by PriceCheck: July 19, 2026. CPT 76856.
Median commercial rate here: $780 — 0% below the Baltimore, MD metro median of $780. Compare all Baltimore, MD hospitals →
Commercial insurance plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| Aetna Us Healthcare IncAetna All HMO And PPO Plans | $780 | negotiated rate |
| Carefirst Blue Choice IncAll Carefirst HMO Plans (+1 same-rate plans) | $780 | negotiated rate |
| TricareTricare | $780 | negotiated rate |
| Cigna HealthspringCigna Healthspring | $780 | negotiated rate |
| Cigna Healthcare Mid AtlanticAll Cigna HMO | $780 | negotiated rate |
| Cigna Healthcare Midatlantic IncAll Cigna PPO | $780 | negotiated rate |
| HumanaHumana Choice Care (+1 same-rate plans) | $780 | negotiated rate |
| Kaiser PermanenteAll Kaiser Commercial (+3 same-rate plans) | $780 | negotiated rate |
| United HealthcareUnitedhealthcare Community Plan Of Maryland (+3 same-rate plans) | $780 | negotiated rate |
| Unitedhealthcare Insurance CompanyOptum Va Community Care | $780 | negotiated rate |
| United Healthcare-OvationsUnited Secure | $780 | negotiated rate |
Medicare plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| Aetna MedicareAetna Medicare | $780 | negotiated rate |
| Carefirst Advantage IncCarefirst Medicare Advantage | $780 | negotiated rate |
Medicaid plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| AmerigroupAmerigroup Dc | $780 | negotiated rate |
| Amerihealth Caritas District Of ColumbiaAmerihealth | $780 | negotiated rate |
| Medstar Family Choice IncMedstar Family Choice Dc | $780 | negotiated rate |
| Medstar Family ChoiceMedstar Family Choice Md | $780 | negotiated rate |
Common questions
How much does pelvic ultrasound cost at MedStar Good Samaritan Hospital without insurance?
MedStar Good Samaritan Hospital's price file lists a discounted cash (self-pay) facility rate of $765 for Pelvic ultrasound, against a gross charge of $780. Facility rate only — physician, anesthesia, radiology, and pathology services bill separately.
What do insurance plans pay for pelvic ultrasound at MedStar Good Samaritan Hospital?
MedStar Good Samaritan Hospital lists 11 commercial plan rates for Pelvic ultrasound, from $780 (Aetna Us Healthcare Inc) to $780 (United Healthcare-Ovations), with a median of $780. The Baltimore, MD metro median commercial rate for this procedure is $780.
Where do these prices come from?
Directly from the machine-readable file MedStar Good Samaritan Hospital publishes under the CMS Hospital Price Transparency rule (45 CFR Part 180), file date April 1, 2026. These are price disclosures, not quotes.
Same procedure at nearby hospitals: Luminis Health Anne Arundel Medical Center · UM St. Joseph Medical Center · Sinai Hospital of Baltimore · Northwest Hospital Center · Greater Baltimore Medical Center · MedStar Harbor Hospital