CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Adventist Health Sonora

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $143
  • Cash Discount Price: $61
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Adventist Health Sonora is $143. 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 1.34x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$61

Average discount available for prompt cash payment at this facility.

Insurance Median
$143

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: $143 (134%)
Cash: $61 (57% of Medicare)
Ins. Median: $143 (134% 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 $28 - $144 26%
Central Ca Alliance Mcr Adv Profee Only $28 26%
Healthnet Mcr Adv $28 - $144 26%
Tricare $28 - $144 26%
UnitedHealthcare $28 - $1,807 26%
Ah Employee Health Plan - All Plans $31 - $259 29%
Cigna $34 - $1,997 32%
Greatwest Oa/Pos/Hmo $36 - $1,787 34%
Greatwest Ppo - All Other Plans $36 - $1,892 34%
Healthnet - All Other Plans $41 - $1,841 38%
Western Growers/Pinnacle - All Plans $42 - $1,114 39%
Blue Shield Epn $44 - $1,593 41%
Blue Shield - All Other Plans $46 - $1,598 43%
Bc Mcal $61 57%
Celtic Ca Hlth Well Mcal - All Plans $61 - $120 57%
Central Ca Alliance Mcal $61 - $99 57%
Healthnet Mcal $61 - $130 57%
Medi-Cal $61 - $87 57%
Central Ca Alliance Ccs Mcal $91 - $99 85%
Central Ca Alliance Comm Profee Only-All Other Pla $91 85%
Beech Street- All Plans $98 - $1,787 92%
Trpn - Three Rivers Ppo - All Plans $98 - $1,682 92%
Central Ca Alliance Chdp Mcal $99 - $121 93%
Aetna $143 - $896 134%
Phs Prime Health Srvcs-All Plans $144 135%
Bc Exchange $370 346%
Bc Non-Mcs - All Other Plans $412 386%
Bc Mcs $494 463%
Kaiser - All Plans $1,051 984%
Affordable Health - All Plans $1,892 1771%
Interplan - All Plans $1,892 1771%
Multiplan - All Plans $1,892 1771%
Phcs Ppo - All Plans $1,892 1771%
Stanilaus Foundation - All Plans $1,997 1870%

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