CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Flagstaff Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $176
  • Cash Discount Price: $451
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Flagstaff Medical Center is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.65x the Medicare baseline. Located in 1200 North Beaver Street, Flagstaff, AZ.
Cash / Self-Pay
$451

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $451 (422%)
Insurance Median: $176 (165%)
Cash: $451 (422% of Medicare)
Ins. Median: $176 (165% 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.

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
Devoted $83 - $123 78%
Health Choice $83 - $229 78%
University Of Arizona Health Plans $83 - $129 78%
Va Pccc Triwest $84 - $119 79%
Carefirst $106 99%
Mercy Care Rhba $106 99%
Ahcccs $109 102%
Ahcccs Other $109 102%
Fmc Jail $109 102%
Health Choice Arizona $109 102%
Health Choice Integrated Care $109 102%
Health Net Of Arizona $109 102%
Mercy Care $109 102%
Nhi Out Of State Ahcccs $109 102%
UnitedHealthcare $109 - $834 102%
Health Net Federal $112 105%
Aetna $118 - $767 110%
Fmc 30/70 $118 110%
Humana $118 - $856 110%
Medicare (plans) $118 110%
Mercy Care Advantage $118 110%
Rehabilitation Hospital Of Northern Arizona $118 110%
Snf Fmc $118 110%
Wellcare $118 110%
Wellcare By Allwell $118 110%
Fmc Ihs $119 111%
Ambetter / Centene $135 126%
Naphcare $147 - $239 138%
Pnoa $176 165%
Self Pay $451 - $901 422%
Self-Pay 50% Discount $451 422%
Blue Cross Blue Shield $529 - $661 495%
Workers Comp $586 549%
Copperpoint $661 619%
Nau Athletic Department $721 675%
Cigna $811 759%
Fmc 90/10 $811 759%
Rural Arizona Network Multiplan $811 759%
United Behavioral Health $901 844%
Auto Insurance $5,000 4681%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North Beaver Street, Flagstaff, AZ 86001
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals