CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Adventist Health Simi Valley

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $175
  • Cash Discount Price: $160
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Adventist Health Simi Valley is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.64x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$160

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $160 (150%)
Insurance Median: $175 (164%)
Cash: $160 (150% of Medicare)
Ins. Median: $175 (164% 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
Vchcp - All Plans $48 - $753 45%
Hpn Senior Hmo $50 - $785 47%
UnitedHealthcare $50 - $782 47%
Western Growers - All Plans $50 - $791 47%
Blue Shield - All Other Plans $55 - $864 51%
Hpn - All Other Plans $60 - $945 56%
Kaiser - All Plans $60 - $942 56%
Aetna $66 - $1,036 62%
Scan Mcr Adv - All Plans $72 - $1,130 67%
First Health - All Plans $78 - $1,224 73%
Phcs Ppo - All Plans $78 - $1,224 73%
Beech Street Ppo - All Plans $90 - $1,412 84%
Choicecare Ppo - All Plans $90 - $1,412 84%
Health Net - All Plans $90 - $1,420 84%
Corvel Corp - All Plans $96 - $1,506 90%
Interplan Ppo - All Plans $96 - $1,506 90%
Ehn - All Plans $100 94%
Multiplan Ppo - All Plans $100 - $1,563 94%
Ahf - All Plans $102 - $1,601 95%
Hmn Ppo/Epo - All Plans $102 - $1,601 95%
Trpn Ppo - All Plans $102 - $1,601 95%
Gold Coast Mcal - All Plans $107 100%
Fpn Ppo - All Plans $108 - $1,695 101%
Blue Shield Mcare $134 125%
Facey Medical Mdcare $134 125%
Medicare (plans) $134 125%
Tricare $134 125%
Facey Medical Hmo/Pos - All Other Plans $161 151%
Ah Employee Health Plan - All Plans $242 227%
Centivo - All Plans $303 284%
Bc Exchange $329 308%
Bc Non Mcs $366 343%
Bc Mcs - All Other Plans $439 411%
Cigna $539 505%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals