CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Alhambra Hospital Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $235
  • Cash Discount Price: $1,461
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Alhambra Hospital Medical Center is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,461. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.20x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$1,461

Average discount available for prompt cash payment at this facility.

Insurance Median
$235

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: $1,461 (1368%)
Insurance Median: $235 (220%)
Cash: $1,461 (1368% of Medicare)
Ins. Median: $235 (220% 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 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Ahmc-Reciprocity-Medi-Cal/Healthy Families $61 57%
Citrus Valley Health Partners $61 57%
La Care Pasc Seiu Misc $61 57%
La Care Medi-Cal Hmo $70 66%
Stewart Mg Senior Hmo $81 76%
Allied Physicians Of Ca Medi-Cal $87 81%
Health Net Medi-Cal $87 81%
Kaiser Medi-Cal $87 81%
Medi-Cal $87 81%
Miscellaneous Medi-Cal Hmo $87 81%
Blue Cross Blue Shield $101 - $234 95%
Aetna $114 - $134 107%
Blue Shield 65 Plus $127 119%
Apa Aco $130 122%
Altamed Senior Services $132 124%
Brand New Day Sr $132 124%
Central Health Plan Of Ca Senior Hmo $132 124%
Health Net Senior Hmo $132 124%
Medicare (plans) $132 - $903 124%
Humana $134 125%
La Care Exchange $134 125%
Miscellaneous Senior Hmo $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $178 125%
Wellcare Senior Hmo $134 125%
Alignment Senior Hmo $139 130%
Health Net Salud Con Hmo $164 154%
Molina Exchange $165 154%
Health Net Exchange $166 155%
Miscellaneous Work Comp Hmo $179 168%
Ahmc Health $198 185%
Allied Physicians Of Ca Commercial $202 189%
Cigna $241 - $677 226%
Health Net Ppo/Epo/Pos $280 262%
Ahmc-Reciprocity-Comm/Senior $425 - $451 398%
Allied Physicians Comm/Sr $496 - $527 464%
Allied Physicians Medi-Cal $496 - $527 464%
Wellcare Allied Senior Hmo $496 - $527 464%
Blue Shield Value Network Exchange $543 508%
Molina Health Plan $553 - $587 518%
Self Pay $567 - $602 531%
Health Net Exchange Enhanced Ppo $601 - $638 563%
Blue Shield Hmo/Ppo $606 567%
Kaiser Commercial $879 - $933 823%
Scan Senior Plan $922 - $978 863%
Multiplan $1,134 - $1,204 1062%
Miscellaneous Commercial Ppo/Hmo $1,418 - $1,505 1328%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals