CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: El Centro Regional Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,935
  • Cash Discount Price: $1,748
  • vs. Medicare Baseline: 18.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at El Centro Regional Medical Center is $1,935. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,748. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.12x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$1,748

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,935

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: $1,748 (1637%)
Insurance Median: $1,935 (1812%)
Cash: $1,748 (1637% of Medicare)
Ins. Median: $1,935 (1812% 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 1812% of the Medicare baseline (a markup of 1712%). 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.

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 $134 - $2,540 125%
Brand New Day Comm - All Other Plans $134 125%
Brand New Day Mcr $134 125%
Healthnet Mcr Adv $134 125%
Molina Mcr Adv $134 125%
Scp Managed Care - All Plans $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $1,273 125%
Easy Choice Mcr Adv-All Plans $148 139%
Healthnet Hmo $168 157%
Cdcr Correctional-All Plans $174 163%
Blue Shield-All Plans $193 181%
Aetna $1,080 - $1,118 1011%
Pacificare-All Plans $1,522 - $1,575 1425%
Mulitplan Primary - All Other Plans $1,669 - $1,727 1563%
Cigna $1,841 - $1,905 1724%
Multiplan Comp $1,964 - $2,032 1839%
Trident - All Plans $2,087 - $2,159 1954%
Healthnet Comm-All Other Plans $2,210 - $2,286 2069%
Humana $2,283 - $2,362 2137%
Ahccs/Medi-Cal Misc - All Plans $2,455 - $2,540 2298%
Brand New Day Mcal $2,455 - $2,540 2298%
Medi-Cal $2,455 - $2,540 2298%
Molina Exchange - All Other Plans $2,455 - $2,540 2298%
Ambetter / Centene $2,529 - $2,616 2368%
Molina Mcal $2,700 - $2,794 2528%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals