CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Adventist Health Reedley

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $87
  • Cash Discount Price: $68
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Adventist Health Reedley is $87. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.81x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$68

Average discount available for prompt cash payment at this facility.

Insurance Median
$87

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: $68 (64%)
Insurance Median: $87 (81%)
Cash: $68 (64% of Medicare)
Ins. Median: $87 (81% 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.

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
Healthnet Medi-Cal $16 - $204 15%
Blue Shield Mcare $28 - $134 26%
Fhcn Pace Mcr Adv-All Plans $28 - $134 26%
Lasalle Med Assoc Profee Only - All Plans $28 26%
Tricare $28 - $134 26%
UnitedHealthcare $28 - $573 26%
Upn Mcr Adv Profee Only $28 26%
Ah Employee Health Plan - All Plans $31 - $242 29%
Cigna $34 - $885 32%
Community Care Ipa Mcal-All Plans $34 - $113 32%
Kaiser - All Other Plans $38 - $681 36%
Kaiser Mcr Adv $38 - $134 36%
Healthnet- All Other Plans $41 - $592 38%
Western Growers/Pinnacle- All Plans $42 - $627 39%
Blue Shield Epn - All Other Plans $44 - $602 41%
Blue Shield Non Epn $46 - $697 43%
Bc Mcal $47 - $61 44%
Blue Cross Blue Shield $52 - $521 49%
Cal Viva Hlth Mcal - All Plans $61 - $87 57%
Central Ca Alliance Mcal Profee Only $61 57%
Dignity Mcal Op/Profee Only-All Other Plans $61 - $96 57%
Medi-Cal $61 - $87 57%
Upn Mcal Profee Only-All Other Plans $61 57%
Aetna $71 - $355 66%
Kern Health Systems Mcal-All Plans $76 - $87 71%
Physicians Med Group Op/Profee Only- All Plans $87 - $1,090 81%
Central Ca Alliance Ccs Profee Only $91 85%
Central Ca Alliance Comm Profee Only - All Other P $91 85%
Central Ca Alliance Chdp Profee Only $109 - $121 102%
Dignity Mcr Adv Op/Profee Only $134 125%
Healthnet- Mcr Adv $134 125%
Phs Prime Health Srvcs $134 125%
Bright Health Mcr Adv - All Plans $211 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals