CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Adventist Health Lodi Memorial

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $111
  • Cash Discount Price: $56
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Adventist Health Lodi Memorial is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $56. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$56

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $56 (52%)
Insurance Median: $111 (104%)
Cash: $56 (52% of Medicare)
Ins. Median: $111 (104% 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 $28 - $138 26%
Blue Shield Mcare Adv $28 - $138 26%
Healthnet Mcare $28 - $138 26%
Hp Of San Joaquin Mcr Adv $28 - $138 26%
Humana $28 - $138 26%
Knnex Health - All Plans $28 - $165 26%
Medcore(Omni Ipa) Op Only- All Plans $28 - $744 26%
Tricare $28 - $138 26%
UnitedHealthcare $28 - $1,188 26%
Hp Healthy Kids Pro Fee $29 27%
Ah Employee Health Plan - All Plans $31 - $248 29%
Cigna $34 - $2,576 32%
First Health- All Plans $34 - $2,347 32%
Blue Shield Epn - All Other Plans $35 - $927 33%
Beech Street- All Plans $36 - $2,576 34%
Hp Of San Joaquin Ppo - All Other Plans $36 - $2,719 34%
Multiplan- All Plans $36 - $2,290 34%
Blue Shield Non-Epn $37 - $962 35%
Kaiser Commercial - All Other Plans $38 - $1,173 36%
Kaiser Mcr Adv $38 - $138 36%
Networks By Design- All Plans $38 - $1,431 36%
Healthnet- All Other Plans $41 - $1,406 38%
Western Growers- All Plans $43 - $2,576 40%
Bc Mcal $48 - $61 45%
Blue Cross Blue Shield $52 - $448 49%
Celtic Ins Company - All Plans $61 - $98 57%
Kaiser Mcal $61 - $87 57%
Medi-Cal $61 - $87 57%
Hp Mcal Pro Fee $67 63%
Healthnet Mcal $73 - $124 68%
Hp Of San Joaquin Mcal $73 - $109 68%
Three Rivers Provider Network- All Plans $98 - $2,576 92%
Aetna $113 - $931 106%
Cca Health Plan Mcr Adv- All Plans $138 129%
Bright Health - All Plans $276 258%

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