CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Adventist Health Ukiah Valley

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $198
Cash Discount Price: $61
vs. Medicare Baseline: 1.85x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Adventist Health Ukiah Valley is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.85x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $61 (57%)

Insurance Median: $198 (185%)

Cash: $61 (57% of Medicare)

Ins. Median: $198 (185% 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.

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	$28 - $144	26%
Kaiser Mcr Adv	$28 - $144	26%
Tricare	$28 - $144	26%
Ah Employee Health Plan - All Plans	$31 - $259	29%
Cigna	$36 - $1,212	34%
UnitedHealthcare	$36 - $1,299	34%
Healthnet-All Plans	$41 - $889	38%
Western Growers-All Plans	$41 - $653	38%
Blue Shield Epn-All Other Plans	$44 - $592	41%
Blue Shield Non-Epn	$46 - $600	43%
Kaiser Medi-Cal	$61 - $87	57%
Medi-Cal	$61 - $87	57%
Aetna	$71 - $538	66%
Mendocino Lcc District-All Plans	$71 - $1,010	66%
Kaiser-All Other Plans	$87 - $1,243	81%
Three Rivers-All Plans	$98 - $1,399	92%
Foundation For Medical Care-All Plans	$186 - $1,166	174%
Networks By Design-All Plans	$198 - $1,243	185%
Phcs Multiplan-All Plans	$198 - $1,243	185%
Interplan-All Plans	$203 - $1,274	190%
Beech Street-All Plans	$211 - $1,321	198%
Choice Care-All Plans	$211 - $1,321	198%
Health Mgmt Network-All Plans	$211 - $1,321	198%
Blue Cross Blue Shield	$412 - $549	386%

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 $61.
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 Adventist Health Ukiah Valley 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.