CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Oak Valley Hospital District

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,281
Cash Discount Price: $1,656
vs. Medicare Baseline: 11.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Oak Valley Hospital District is $1,281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,656. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.99x the Medicare baseline. Located in 350 S Oak Ave, Oakdale, CA.

Cash / Self-Pay

$1,656

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,281

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: $1,656 (1550%)

Insurance Median: $1,281 (1199%)

Cash: $1,656 (1550% of Medicare)

Ins. Median: $1,281 (1199% 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 1199% of the Medicare baseline (a markup of 1099%). 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	$87 - $1,987	81%
Healthnet Medi-Cal Ip/Op Only	$87	81%
Kaiser Medi-Cal Ip/Op Only	$87	81%
Medi-Cal Ip/Op Only	$87	81%
Hp Of San Joaquin Ip/Op Only-All Plans	$105	98%
Alignment Op Only Ip/Op Only-All Plans	$134	125%
Humana	$134	125%
Kaiser Mcr Adv Ip/Op Only	$134	125%
Scan Health Plan Ip/Op Only-All Plans	$137	128%
Imperial Health Ip/Op Only-All Plans	$148	139%
Blue Shield Epn Ip/Op Only	$1,195	1119%
Healthnet Comm Op Only Ip/Op Only-All Other Plans	$1,281	1199%
Kaiser Comm Ip/Op Only-All Other Plans	$1,369	1282%
Blue Shield/Bcout Ip/Op Only-All Other Plans	$1,457	1364%
Cigna	$1,479	1385%
UnitedHealthcare	$1,546	1447%
Aetna	$1,879	1759%

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 $1,656.
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 Oak Valley Hospital District 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.