CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Adventist Health Ukiah Valley

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $238
Cash Discount Price: $77
vs. Medicare Baseline: 2.23x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Adventist Health Ukiah Valley is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $77. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.23x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$77

Average discount available for prompt cash payment at this facility.

Insurance Median

$238

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: $77 (72%)

Insurance Median: $238 (223%)

Cash: $77 (72% of Medicare)

Ins. Median: $238 (223% 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 223% of the Medicare baseline (a markup of 123%). 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
Blue Shield Mcr Adv	$38 - $144	36%
Kaiser Mcr Adv	$38 - $144	36%
Tricare	$38 - $144	36%
Ah Employee Health Plan - All Plans	$42 - $259	39%
Cigna	$50 - $1,402	47%
UnitedHealthcare	$51 - $1,503	48%
Healthnet-All Plans	$56 - $1,028	52%
Western Growers-All Plans	$56 - $755	52%
Blue Shield Epn-All Other Plans	$60 - $685	56%
Blue Shield Non-Epn	$64 - $694	60%
Kaiser Medi-Cal	$83 - $119	78%
Medi-Cal	$83 - $119	78%
Aetna	$88 - $663	82%
Mendocino Lcc District-All Plans	$98 - $1,169	92%
Kaiser-All Other Plans	$120 - $1,438	112%
Three Rivers-All Plans	$135 - $1,618	126%
Foundation For Medical Care-All Plans	$223 - $1,348	209%
Networks By Design-All Plans	$238 - $1,438	223%
Phcs Multiplan-All Plans	$238 - $1,438	223%
Interplan-All Plans	$244 - $1,474	228%
Beech Street-All Plans	$252 - $1,528	236%
Choice Care-All Plans	$252 - $1,528	236%
Health Mgmt Network-All Plans	$252 - $1,528	236%
Blue Cross Blue Shield	$572 - $762	536%

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 $77.
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 Adventist Health Ukiah Valley 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.