CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $861
Cash Discount Price: $959
vs. Medicare Baseline: 8.06x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Southwest Healthcare Rancho Springs Hospital is $861. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $959. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.06x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$959

Average discount available for prompt cash payment at this facility.

Insurance Median

$861

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: $959 (898%)

Insurance Median: $861 (806%)

Cash: $959 (898% of Medicare)

Ins. Median: $861 (806% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 806% of the Medicare baseline (a markup of 706%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Kaiser	$37 - $748	35%
Health_Net	$44 - $861	41%
United_Healthcare	$60 - $178	56%
Heritage	$65 - $964	61%
Iehp	$78	73%
Blue Cross Blue Shield	$96 - $748	90%
Aetna	$359	336%
Cigna	$783 - $904	733%
Primecare	$869 - $1,003	814%
Palomar	$1,025 - $1,183	960%
Rady_Children'S_Hospital	$1,526 - $1,762	1429%
Multiplan	$1,962 - $2,265	1837%
Sharp_Health_Plan	$1,962 - $2,265	1837%

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 $959.
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 Southwest Healthcare Rancho Springs Hospital 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.