CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Oroville Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $378
Cash Discount Price: $236
vs. Medicare Baseline: 3.54x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Oroville Hospital is $378. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.54x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$236

Average discount available for prompt cash payment at this facility.

Insurance Median

$378

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: $236 (221%)

Insurance Median: $378 (354%)

Cash: $236 (221% of Medicare)

Ins. Median: $378 (354% 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 354% of the Medicare baseline (a markup of 254%). 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
Blue Cross Blue Shield	$29 - $1,488	27%
Butte County	$37 - $471	35%
Cigna	$86 - $1,082	81%
Coventry Health Care	$86 - $1,082	81%
Health Net	$86 - $1,082	81%
Multiplan	$86 - $1,082	81%
Interplan	$91 - $1,150	85%
Three Rivers Provider Network	$91 - $1,150	85%
UnitedHealthcare	$91 - $1,150	85%
Beech Street	$96 - $1,218	90%
Healthstar	$96 - $1,218	90%
Health Payors Organization	$102 - $1,285	95%
Blue Shield Of California	$104 - $1,312	97%
Aetna	$105	98%
Community Care	$105	98%
Nivano Physicians Inc	$105	98%
River City Medical Group	$115	108%
Partnership Healthplan Of California	$173	162%
Blue Shield Value Network	$183	171%

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 $236.
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 Oroville 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.