CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Adventist Health and Rideout

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,425
Cash Discount Price: $443
vs. Medicare Baseline: 13.34x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Adventist Health and Rideout is $1,425. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $443. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.34x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$443

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,425

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: $443 (415%)

Insurance Median: $1,425 (1334%)

Cash: $443 (415% of Medicare)

Ins. Median: $1,425 (1334% 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 1334% of the Medicare baseline (a markup of 1234%). 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
Bc Mcal	$52	49%
Kaiser Mcal	$119	111%
Medi-Cal	$119	111%
Kaiser Mcr Adv	$135	126%
Tricare	$135	126%
UnitedHealthcare	$135 - $1,750	126%
Blue Cross Blue Shield	$136 - $1,552	127%
Ca Health And Wellness- All Plans	$148	139%
Celtic Mcaid-All Plans	$148	139%
Ah Employee Health Plan - All Plans	$243	228%
Healthnet Mcal	$403	377%
Healthnet Comm-All Other Plans	$1,296	1213%
Aetna	$1,425	1334%
Kaiser-All Other Plans	$1,531	1433%
Blue Shield Uc Care Members	$1,612	1509%
Cigna	$1,717	1608%
First Health-All Plans	$1,763	1651%
Phcs-All Plans	$1,773	1660%
Interplan-All Plans	$1,814	1698%
Blue Shield-All Other Plans	$1,914	1792%
Multiplan-All Plans	$1,914	1792%
Partnership Hp Mcal -All Plans	$3,325	3113%

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 $443.
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 Adventist Health and Rideout 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.