CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: City of Hope National Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $962
Cash Discount Price: $1,374
vs. Medicare Baseline: 9.01x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at City of Hope National Medical Center is $962. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,374. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.01x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$1,374

Average discount available for prompt cash payment at this facility.

Insurance Median

$962

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: $1,374 (1286%)

Insurance Median: $962 (901%)

Cash: $1,374 (1286% of Medicare)

Ins. Median: $962 (901% 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 901% of the Medicare baseline (a markup of 801%). 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
Health Net	$57 - $1,333	53%
Cal Optima	$80 - $116	75%
Heritage Provider Network	$104 - $962	97%
Inland Empire	$112 - $1,099	105%
Prime Healthcare Keenan	$156 - $1,319	146%
UnitedHealthcare	$539 - $769	505%
Blue Cross Blue Shield	$565 - $962	529%
Cigna	$573	536%
Blue Shield	$813 - $1,638	761%
Blue Shield Covca	$835	782%
Blue Shield Promise	$962	901%
Cencal	$1,099	1029%
La Care Health	$1,099	1029%
Kaiser	$1,237	1158%
Aetna	$1,374	1286%
Gold Coast	$1,374	1286%
Molina	$1,374 - $1,786	1286%
Facey	$1,511	1415%
Healthcare Partners	$1,594	1492%
St. Joseph Heritage	$1,649	1544%
Primecare Medical Network	$1,786	1672%
First Health	$2,116	1981%
Phcs Multiplan	$2,473	2315%

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 $1,374.
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 City of Hope National 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.