CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: City of Hope National Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $759
Cash Discount Price: $986
vs. Medicare Baseline: 7.11x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at City of Hope National Medical Center is $759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $986. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.11x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$986

Average discount available for prompt cash payment at this facility.

Insurance Median

$759

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: $986 (923%)

Insurance Median: $759 (711%)

Cash: $986 (923% of Medicare)

Ins. Median: $759 (711% 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 711% of the Medicare baseline (a markup of 611%). 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	$42 - $1,051	39%
Cal Optima	$59 - $85	55%
Heritage Provider Network	$76 - $759	71%
Inland Empire	$85 - $867	80%
Prime Healthcare Keenan	$119 - $1,041	111%
Blue Cross Blue Shield	$407 - $759	381%
UnitedHealthcare	$497 - $607	465%
Blue Shield	$525 - $1,292	492%
Blue Shield Covca	$540 - $659	506%
Cigna	$573	536%
Blue Shield Promise	$621 - $759	581%
Cencal	$710 - $867	665%
La Care Health	$710 - $867	665%
Kaiser	$799 - $976	748%
Aetna	$888 - $1,084	831%
Gold Coast	$888 - $1,084	831%
Molina	$888 - $1,409	831%
Facey	$976 - $1,192	914%
Healthcare Partners	$1,030 - $1,257	964%
St. Joseph Heritage	$1,065 - $1,301	997%
Primecare Medical Network	$1,154 - $1,409	1080%
First Health	$1,367 - $1,669	1280%
Phcs Multiplan	$1,598 - $1,951	1496%

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 $986.
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 City of Hope National Medical Center 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.