CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Adventist Health Lodi Memorial

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $138
  • Cash Discount Price: $79
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Adventist Health Lodi Memorial is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.29x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$79

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $79 (74%)
Insurance Median: $138 (129%)
Cash: $79 (74% of Medicare)
Ins. Median: $138 (129% 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
Alignment Health Plan (Ahp)-All Plans $38 - $138 36%
Blue Shield Mcare Adv $38 - $138 36%
Healthnet Mcare $38 - $138 36%
Hp Of San Joaquin Mcr Adv $38 - $138 36%
Humana $38 - $138 36%
Knnex Health - All Plans $38 - $165 36%
Tricare $38 - $138 36%
UnitedHealthcare $38 - $1,716 36%
Hp Healthy Kids Pro Fee $40 37%
Ah Employee Health Plan - All Plans $42 - $248 39%
Cigna $46 - $3,721 43%
First Health- All Plans $46 - $3,390 43%
Beech Street- All Plans $50 - $3,721 47%
Hp Of San Joaquin Ppo - All Other Plans $50 - $3,927 47%
Multiplan- All Plans $50 - $3,307 47%
Kaiser Commercial - All Other Plans $52 - $1,695 49%
Kaiser Mcr Adv $52 - $138 49%
Networks By Design- All Plans $52 - $2,067 49%
Healthnet- All Other Plans $56 - $2,030 52%
Western Growers- All Plans $58 - $3,721 54%
Blue Shield Epn - All Other Plans $60 - $1,339 56%
Blue Shield Non-Epn $64 - $1,389 60%
Bc Mcal $66 - $83 62%
Blue Cross Blue Shield $71 - $622 66%
Celtic Ins Company - All Plans $83 - $134 78%
Kaiser Mcal $83 - $119 78%
Medi-Cal $83 - $119 78%
Hp Mcal Pro Fee $92 86%
Healthnet Mcal $100 - $171 94%
Hp Of San Joaquin Mcal $100 - $149 94%
Cca Health Plan Mcr Adv- All Plans $138 129%
Aetna $139 - $1,146 130%
Bright Health - All Plans $276 258%
Medcore(Omni Ipa) Op Only- All Plans $465 - $1,075 435%
Three Rivers Provider Network- All Plans $1,610 - $3,721 1507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals