CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Saint Agnes Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $19
  • Cash Discount Price: $316
  • vs. Medicare Baseline: 0.18x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Saint Agnes Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.18x the Medicare baseline. Located in 1303 E Herndon Ave, Fresno, CA.
Cash / Self-Pay
$316

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

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: $316 (296%)
Insurance Median: $19 (18%)
Cash: $316 (296% of Medicare)
Ins. Median: $19 (18% 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.

Out-of-Pocket Cost Estimator

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $17 - $70 16%
Aetna $19 - $369 18%
Albany County Correctional Facility $19 18%
Ambetter / Centene $19 18%
Amish Mennonite $19 18%
Andrie Inc $19 18%
Ascension St. Vincent Public Safety Medical $19 18%
Bcccp-Michigan $19 18%
Bccp $19 18%
Blue Cross Blue Shield $19 - $311 18%
Bmc Healthnet $19 18%
Breast Grant-Connecticut $19 18%
Broward County Dept Of Health $19 18%
California Health And Wellness $19 18%
Can Community Health Inc $19 18%
Cardinal Innovations Lme $19 18%
Care Connections Of Northern Iowa $19 18%
Care Oregon Ohp $19 18%
Cencal Health Plan $19 18%
Cenpatico $19 18%
Chhuny $19 18%
Childrens Comm Health Plan $19 18%
Childrens Medical Services Title 19 $19 18%
Cigna $19 - $668 18%
City Of Philadelphia $19 18%
Cmh Allegan County $19 18%
Cmh Ausable Valley $19 18%
Cmh Barry County $19 18%
Cmh Bay-Arenac County $19 18%
Cmh Berrien County $19 18%
Cmh Cass County $19 18%
Cmh Central Mi County $19 18%
Cmh Clinton-Eaton-Ingham County $19 18%
Cmh Detroit Wayne Integrated Health Network $19 18%
Cmh Genesee County $19 18%
Cmh Ionia County $19 18%
Cmh Jackson County/Lifeways $19 18%
Cmh Kalamazoo $19 18%
Cmh Kent County $19 18%
Cmh Lenawee County $19 18%
Cmh Livingston County $19 18%
Cmh Macomb $19 18%
Cmh Misc $19 18%
Cmh Monroe County $19 18%
Cmh Montcalm County $19 18%
Cmh Muskegon County $19 18%
Cmh Newaygo County $19 18%
Cmh North Country $19 18%
Cmh Northern Lakes County $19 18%
Cmh Oakland County $19 18%
Cmh Ottawa County $19 18%
Cmh Van Buren County $19 18%
Cmh Washtenaw County $19 18%
Cmh Wayne County/Carelink $19 18%
Cmh Wayne Cty/Com Liv Svcs $19 18%
Cmh West Mi County $19 18%
Community Benefit Health $19 18%
Community Care Behavorial Health $19 18%
Community Care Partners $19 18%
Community Health Choice $19 18%
Connections Csp $19 18%
County Coroner $19 18%
County Funding Generic $19 18%
Covid19 Hrsa Uninsured Testing And Treatment Fund $19 18%
Dean Wi Badgercare $19 18%
Delaware County Department Of Health $19 18%
Delaware First Health $19 18%
Delta Dental Nj $19 18%
Dph Tb Program $19 18%
Dscc $19 18%
East Greenbush Central School District $19 18%
Eastpointe Lme $19 18%
Family Health Network $19 18%
Freedom First Healthcare $19 18%
Fresno County Ccs $19 18%
Genex Wc $19 18%
Ghc Scw Wi Badgercare $19 18%
Harbor Health $19 18%
Health Safety Net $19 18%
Healthsmart Workers Comp $19 18%
Healthy Blue Ne $19 18%
Hennepin Health $19 18%
Humana $19 - $138 18%
Id County Ada $19 18%
Id County Canyon $19 18%
Id County Cat Fund $19 18%
Id County Other $19 18%
Id County Payette $19 18%
Idaho Dept Health And Wellfare $19 18%
Idaho Womens Health Check $19 18%
Indiana Breast Cervical Cancer $19 18%
Inland Empire Health Plan $19 18%
Intercommunity Health Ohp $19 18%
Iowa Total Care $19 18%
Jag Source $19 18%
Jai Medical System $19 18%
Kern Family Health Plan $19 18%
Keystone First $19 18%
Keystone First Chip $19 18%
La Care Health Plan $19 18%
Lakeland Care Inc $19 18%
Managed Health Services - Indiana $19 18%
Maryland Breast & Cervical Program $19 18%
Maryland Healthy Smiles - Scion Dental $19 18%
Maryland Physicians Care $19 18%
Massachusetts Behavioral Health Partnership $19 18%
Mdwise $19 18%
Medi-Cal $19 18%
Medi-Cal Healthnet $19 - $75 18%
Medstar Dc Healthy Family $19 18%
Medstar Md Health Choice $19 18%
Mo Home State Health Plan $19 18%
Molina Centennial Care $19 18%
Nascentia Health Options $19 18%
Nebraska Total Care $19 18%
New York Cancer Services Program $19 18%
New York State Insurance Fund $19 18%
Nextlevel Health $19 18%
Njm Insurance Group $19 18%
Oregon Screenwise $19 18%
Pace Of Southwest Michigan $19 - $27 18%
Paramount Advantage $19 18%
Parkland Community Health Plan $19 18%
Partners Behavioral Lme $19 18%
Peach State Healthplan $19 18%
Philadelphia County Funding $19 18%
Presbyterian Centennial Care $19 18%
Prestige Health Choice $19 18%
Priority Partners $19 18%
Robert F Sing Program $19 18%
Rx 340B Pass Along $19 18%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $19 18%
Rx Heatlhcomp $19 18%
Rx Medi-Cal $19 18%
Rx Meridian Rx $19 18%
Rx Restat $19 18%
Rx Saif Opdp Wc $19 18%
Rx Worker'S Comp $19 18%
Ryan White Florida Mssrp $19 18%
Sandhills Center Lme $19 18%
Screening For Life $19 18%
St Joseph County Hlth Dpt $19 18%
Stephenson Cty Health $19 18%
Sunshine State Health Plan $19 18%
Superior Health $19 18%
Tenncare $19 18%
Texas Children'S Health Plan $19 18%
Trillium Community Ohp $19 18%
Tufts Health Public Plans $19 18%
UnitedHealthcare $19 - $570 18%
Vaya Health Lme $19 18%
Washtenaw Health Plan $19 18%
Wc Accident Fund $19 18%
Wc Ace $19 18%
Wc Acs Federal Employees $19 18%
Wc Acuity $19 18%
Wc Advantage $19 18%
Wc Aegis $19 18%
Wc Aig $19 18%
Wc Aims $19 18%
Wc Alaska National Ins $19 18%
Wc Align Network $19 18%
Wc Allied $19 18%
Wc Am Trust N America $19 18%
Wc American Claims Mgmt $19 18%
Wc Amerisure $19 18%
Wc Amtrust $19 18%
Wc Asu Risk Mgt $19 18%
Wc Benetech $19 18%
Wc Berkley Admin $19 18%
Wc Broadspire $19 18%
Wc Broward County $19 18%
Wc Bunch & Associates $19 18%
Wc California State Comp Ins $19 18%
Wc California State Ins Fund $19 18%
Wc Capitol Area Health Consortium $19 18%
Wc Ccmsi $19 18%
Wc Chartis $19 18%
Wc Chubb $19 18%
Wc Cirma $19 18%
Wc City Of Albany $19 18%
Wc City Of Sioux City $19 18%
Wc Claims Mgmt Inc $19 18%
Wc Cna $19 18%
Wc Comp One Admin C/O Manageability $19 18%
Wc Compone Admin $19 18%
Wc Ct Healthcare Trust $19 18%
Wc Donegal Insurance Group $19 18%
Wc Emc Insurance Company $19 18%
Wc Employee Mutual $19 18%
Wc Enablecomp $19 18%
Wc Encore Health Network $19 18%
Wc Erie $19 18%
Wc Esis $19 18%
Wc Evolutions $19 18%
Wc Fcci $19 18%
Wc Fed Ex $19 18%
Wc Federal Black Lung $19 18%
Wc Federated $19 18%
Wc Finley Occupational Health $19 18%
Wc First Agency/Occunet $19 18%
Wc Ford Motor $19 18%
Wc Fresno Unified Emp $19 18%
Wc Gallagher Bassett $19 18%
Wc General Motors $19 18%
Wc Generic $19 18%
Wc Genex Care For Ohio $19 18%
Wc Great West Casualty $19 18%
Wc Guarantee Insurance $19 18%
Wc Guard Insurance Company $19 18%
Wc Hab $19 18%
Wc Hartford $19 18%
Wc Hastings $19 18%
Wc Health Management $19 18%
Wc Heritage Summit $19 18%
Wc Hireright $19 18%
Wc Horizon $19 18%
Wc Icw Group $19 18%
Wc Idaho State Ins Fund $19 18%
Wc Intercare Insurance $19 18%
Wc Intermountain $19 18%
Wc Johns Eastern $19 18%
Wc Kemberton $19 18%
Wc Key Ins & Benefit Solutions $19 18%
Wc Liberty Mutual $19 18%
Wc Mac Risk Management $19 18%
Wc Massachusetts $19 18%
Wc Mdia $19 18%
Wc Meadowbrook Claim $19 18%
Wc Medical Administrators $19 18%
Wc Meijers $19 18%
Wc Memic $19 18%
Wc Mercy Workcare $19 18%
Wc Michigan $19 18%
Wc Michigan Millers Mutual $19 18%
Wc Mitchell Frankenmuth $19 18%
Wc Mra $19 18%
Wc Nationwide $19 18%
Wc Nca Comp $19 18%
Wc New York $19 18%
Wc New York Special Funds $19 18%
Wc North American Rishces $19 18%
Wc Northeast Health $19 18%
Wc Notre Dame $19 18%
Wc Novanet $19 18%
Wc O'Hara Corp $19 18%
Wc Occ Health Allen $19 18%
Wc Ohio Bureau $19 18%
Wc One Call Medical $19 18%
Wc Paradigm $19 18%
Wc Peerless $19 18%
Wc Pma $19 18%
Wc Praxis Health Network $19 18%
Wc Price Chopper $19 18%
Wc Procura Management $19 18%
Wc Qualcare $19 18%
Wc Quiktrip $19 18%
Wc Reny Company $19 18%
Wc Rev Claims $19 18%
Wc Risico $19 18%
Wc Rural Mutual $19 18%
Wc Saif Oregon $19 18%
Wc Secura $19 18%
Wc Sedgwick $19 18%
Wc Sentry $19 18%
Wc Sheakley Unicomp $19 18%
Wc Smile Lodge $19 18%
Wc Society $19 18%
Wc Srs $19 18%
Wc Taconic (Mro) $19 18%
Wc Taconic Farms $19 18%
Wc Travelers $19 18%
Wc Triad Group $19 18%
Wc Tristar $19 18%
Wc Troy Ny $19 18%
Wc Tyson $19 18%
Wc Unified Health Services $19 18%
Wc United Heartland $19 18%
Wc Us Dept Of Labor $19 18%
Wc Velocity $19 18%
Wc Walmart $19 18%
Wc West Bend $19 18%
Wc West Bend Mutual/Argent $19 18%
Wc Winnebago Industries $19 18%
Wc Yankee Trails $19 18%
Wc York Risk $19 18%
Wc Zenith $19 18%
Wc Zurich $19 18%
Wellsense Health Plan $19 18%
Wi Womens Wellness $19 18%
Ally Align Care Adv $27 25%
American Health Advantage Of Idaho $27 25%
American Health Plan $27 25%
Aurora Special Needs $27 25%
Blue Care Network Advantage $27 25%
Blue Shield - De (Highmark) Medciare Advantage $27 25%
Care Dimensions $27 25%
Care Improvement Plus $27 25%
Care Resources Pace $27 25%
Careplus Health Plans $27 25%
Cca - Zing Health $27 25%
Cca Senior Care Options $27 25%
Central Valley Medical Services Corp Pace $27 25%
Champion Health Plan Mcr Advantage $27 25%
Champva $27 25%
Clear Spring Health $27 25%
Clover Health $27 25%
Commonwealth Care Alliance $27 25%
Community Pace At Home $27 25%
Eddy Senior Care-Pace $27 25%
Eddy Seniorcare Pace $27 25%
Elementcare $27 25%
Evercare $27 25%
Everence $27 25%
Gateway Health Plan $27 25%
Genesys Pace Of Genesee County $27 25%
Georgia Health Advantage $27 25%
Gold Advantage $27 25%
Gpa Croell Redi Mix $27 25%
Health America Advantra $27 25%
Highmark Health Options Dual Plan $27 25%
Hope Select Pace $27 25%
Horizon Nj Total Care $27 25%
Hudson Headwaters Pace $27 25%
Huron Valley Pace $27 25%
Innovative Integrated Health Community Plans $27 25%
Iowa Health Advantage $27 25%
Johns Hopkins Advantage Md $27 25%
Lasso Healthcare Msa $27 25%
Life St Marys Pace $27 25%
Lifecircles Pace $27 25%
Longevity Health Plan $27 25%
Longevity Ipa Of Michigan Llc Health Plan Isnp $27 25%
Martins Point Generations Advantage $27 25%
Mass General Brigham Mcr Adv $27 25%
Medicare (plans) $27 - $138 25%
Medipak Advantage $27 25%
Mercy Life $27 25%
Mercyone Cedar Valley $27 25%
Meridian Complete $27 25%
Michigan Complete Health $27 25%
Nascentia Health Plus $27 25%
New Centry Health Careplus $27 25%
Osu Prime Care Advantage $27 25%
Pace Cny $27 25%
Pace Iowa Immanuel Pathways $27 25%
Pace Southeast $27 25%
Pace-Trinity Health $27 25%
Peak Pace Solutions $27 25%
Perennial Advantage $27 25%
Preferred Care Partners $27 25%
Presbyterian Senior Plan $27 25%
Provider Partners Health Plan Of Illinois $27 25%
Provider Partners Health Plan Of Indiana $27 25%
Pruitthealth Premier $27 25%
Reliance Community Care Partners Care Resources Pace $27 25%
Rx Allwin $27 25%
Rx Grane Grnmedd $27 25%
Rx Retiree Rx Care $27 25%
Scan Health Plan Mcr Ipa Meritage Oon $27 25%
Secure Horizons Ma Pffs $27 25%
Serenity Pace $27 25%
Siouxland Pace $27 25%
Solis Health Plans $27 25%
Sunnyview-Pace Finance Dept $27 25%
Texan Plus $27 25%
The Health Plan $27 25%
Thome Pace $27 25%
Todays Options $27 25%
Tribute Health Plans $27 25%
Tricare $27 25%
Triwest Health Alliance $27 25%
Um Health Advantage $27 25%
Union Health Service $27 25%
Us Family Health Plan $27 25%
Veterans Eval Services $27 25%
Wellmed $27 25%
Multiplan $28 - $727 26%
Phcs $28 - $727 26%
Veterans Administration $28 26%
Welbe Health $29 - $138 27%
Meritain $31 - $350 29%
Advantek Central Usd $32 - $279 30%
Align Senior Care $32 - $155 30%
Healthnet $33 - $705 31%
Blue Shield - Ca $34 - $311 32%
Coventry $34 - $596 32%
First Health $34 32%
Cba Network By Design $36 - $650 34%
Bcn Domestic $40 37%
Blue Benefit Administrators Of Massachusetts $40 - $311 37%
Blue Care Network $40 - $311 37%
Blue Distinction Transplant $40 - $311 37%
Blue Shield - Id (Regence) $40 - $311 37%
Blue Shield - Ny Highmark Northeastern $40 - $311 37%
Blue Shield - Ny Highmark Western $40 - $311 37%
Blue Shield - Pa (Highmark) $40 - $311 37%
Blue Shield - Wa (Regence) $40 - $311 37%
Health Choices $40 37%
Kaiser Domestic $40 37%
Pre-Employment $40 37%
Wc Domestic $40 37%
Geha $43 - $570 40%
Kaiser Permanente $54 - $235 51%
Wc Corvel $55 - $63 51%
Correctcare Integrated Health $61 57%
Trustmark Small Business Benefits $350 328%
Allied Benefit Systems $369 345%
Boon Chapman $369 345%
Hap $369 345%
Webtpa $369 345%
St Agnes Nicu Valley Childrens Hospital $563 527%
Network Health $650 609%
Allegiance $668 625%
American Postal Workers Secondary $668 625%
Interplan $779 729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 E Herndon Ave, Fresno, CA 93720
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals