CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: El Centro Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $851
  • Cash Discount Price: $854
  • vs. Medicare Baseline: 7.97x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at El Centro Regional Medical Center is $851. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $854. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.97x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$854

Average discount available for prompt cash payment at this facility.

Insurance Median
$851

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: $854 (800%)
Insurance Median: $851 (797%)
Cash: $854 (800% of Medicare)
Ins. Median: $851 (797% 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 797% of the Medicare baseline (a markup of 697%). 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 - $1,840 125%
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 - $922 125%
Blue Shield-All Plans $140 131%
Easy Choice Mcr Adv-All Plans $148 139%
Healthnet Hmo $168 157%
Cdcr Correctional-All Plans $174 163%
Aetna $537 - $2,166 503%
Mulitplan Primary - All Other Plans $622 - $1,251 582%
Pacificare-All Plans $650 - $1,141 609%
Cigna $686 - $1,380 642%
Multiplan Comp $732 - $1,472 685%
Trident - All Plans $778 - $1,564 728%
Healthnet Comm-All Other Plans $824 - $1,656 771%
Humana $851 - $1,711 797%
Ahccs/Medi-Cal Misc - All Plans $915 - $1,840 857%
Brand New Day Mcal $915 - $1,840 857%
Medi-Cal $915 - $1,840 857%
Molina Exchange - All Other Plans $915 - $1,840 857%
Ambetter / Centene $942 - $1,895 882%
Molina Mcal $1,006 - $2,024 942%

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