CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Saint Francis Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $134
Cash Discount Price: $133
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Saint Francis Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 3630 East Imperial Highway, Lynwood, CA.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$134

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: $133 (125%)

Insurance Median: $134 (125%)

Cash: $133 (125% of Medicare)

Ins. Median: $134 (125% 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

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
Aids Healthcare Foundation	$82 - $136	77%
Avanti Hospitals, Llc	$82 - $134	77%
Health Net Of Ca	$82 - $174	77%
Kaiser Hospital Foundation	$82 - $134	77%
La Care Health Plan	$82 - $161	77%
Molina	$82 - $134	77%
Traditional Medi-Cal	$82	77%
Blue Shield Of Promise	$86 - $134	81%
Heritage Provider Network	$119	111%
Blue Cross Blue Shield	$131	123%
Alignment	$134	125%
Altamed	$134	125%
Blue Shield Of Ca, Va	$134	125%
Elite Health Plan	$134	125%
Medicare (plans)	$134	125%
Renal Payer Solutions	$134	125%
Tricare	$134	125%
UnitedHealthcare	$134 - $154	125%
Welbe Health Pace	$134	125%
Brand New Day	$135 - $201	126%
Imperial Health Plan Of Ca	$142	133%
Coventry Healthcare Wc, Inc.	$171	160%
Multiplan	$171	160%
Worker Comp	$176	165%
Aetna	$201	188%

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 $133.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Saint Francis Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.