CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Riverside Community Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $445
Cash Discount Price: $4,066
vs. Medicare Baseline: 4.17x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Riverside Community Hospital is $445. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,066. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.17x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.

Cash / Self-Pay

$4,066

Average discount available for prompt cash payment at this facility.

Insurance Median

$445

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: $4,066 (3807%)

Insurance Median: $445 (417%)

Cash: $4,066 (3807% of Medicare)

Ins. Median: $445 (417% 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 417% of the Medicare baseline (a markup of 317%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
La Care Health	$60	56%
Molina	$60	56%
Brand New Day	$66	62%
Inland Empire Health Plan	$87	81%
Blue Cross Blue Shield	$137 - $470	128%
Blue Shield	$218 - $350	204%
United	$245 - $1,069	229%
Cigna	$424	397%
Medcare Partners	$610	571%
Aetna	$732	685%
Redlands Community	$1,220	1142%
First Health	$1,789 - $3,660	1675%
American Health System	$1,830	1713%
Healthsmart	$3,253	3046%
Multiplan	$3,253 - $3,456	3046%
Next	$3,253	3046%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,066.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Riverside Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.