CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Adventist Health Sonora

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $144
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Adventist Health Sonora is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.35x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

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: $81 (76%)
Insurance Median: $144 (135%)
Cash: $81 (76% of Medicare)
Ins. Median: $144 (135% 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
Blue Shield Mcare $38 - $144 36%
Central Ca Alliance Mcr Adv Profee Only $38 36%
Healthnet Mcr Adv $38 - $144 36%
Tricare $38 - $144 36%
UnitedHealthcare $38 - $2,140 36%
Ah Employee Health Plan - All Plans $42 - $259 39%
Cigna $47 - $2,365 44%
Greatwest Oa/Pos/Hmo $50 - $2,116 47%
Greatwest Ppo - All Other Plans $50 - $2,240 47%
Healthnet - All Other Plans $56 - $2,180 52%
Western Growers/Pinnacle - All Plans $57 - $1,319 53%
Blue Shield Epn $60 - $1,887 56%
Blue Shield - All Other Plans $64 - $1,892 60%
Bc Mcal $83 78%
Celtic Ca Hlth Well Mcal - All Plans $83 - $165 78%
Central Ca Alliance Mcal $83 - $135 78%
Healthnet Mcal $83 - $178 78%
Medi-Cal $83 - $119 78%
Central Ca Alliance Ccs Mcal $125 - $135 117%
Central Ca Alliance Comm Profee Only-All Other Pla $125 117%
Beech Street- All Plans $135 - $2,116 126%
Central Ca Alliance Chdp Mcal $135 - $166 126%
Trpn - Three Rivers Ppo - All Plans $135 - $1,991 126%
Aetna $144 - $1,103 135%
Phs Prime Health Srvcs-All Plans $144 135%
Bc Exchange $514 481%
Bc Non-Mcs - All Other Plans $572 536%
Bc Mcs $686 642%
Kaiser - All Plans $1,244 1165%
Affordable Health - All Plans $2,240 2097%
Interplan - All Plans $2,240 2097%
Multiplan - All Plans $2,240 2097%
Phcs Ppo - All Plans $2,240 2097%
Stanilaus Foundation - All Plans $2,365 2214%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals