CMS Price Transparency Data
Ultrasound, abdomen (limited)
Facility: Monterey Park Hospital
Billing Code: 76705 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76705
- Insurance Median: $327
- Cash Discount Price: $1,136
- vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Monterey Park Hospital is $327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,136. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.06x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$1,136
Average discount available for prompt cash payment at this facility.
Insurance Median
$327
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: $1,136 (1064%)
Insurance Median: $327 (306%)
Cash: $1,136 (1064% of Medicare)
Ins. Median: $327 (306% 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 306% of the Medicare baseline (a markup of 206%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 Cross Blue Shield | $19 - $641 | 18% |
| La Care Health Plan | $48 - $705 | 45% |
| Access Ipa Ancillary | $60 | 56% |
| Associated Hispanic Physicians Ancillary | $60 | 56% |
| Esperanza Medical Group Ipa | $60 | 56% |
| Accountable Ipa | $61 | 57% |
| Ahmc Healthcare Inc | $61 - $385 | 57% |
| Allied Physicians | $61 - $202 | 57% |
| Alta Med Health Services Corp | $61 - $320 | 57% |
| Altamed Health Network | $61 - $132 | 57% |
| Altamed Health Services | $61 | 57% |
| Applecare Medical Group | $61 - $108 | 57% |
| Assess Ipa | $61 | 57% |
| Beverly Hospital | $61 - $148 | 57% |
| Brand New Day | $61 - $168 | 57% |
| Care 1St Mcl/Gar Cap | $61 | 57% |
| Community Health Plan | $61 | 57% |
| Family Health Alliance Medical Group | $61 - $385 | 57% |
| Health Net Medi Cal | $61 | 57% |
| Healthnet Inc | $61 | 57% |
| Healthy Way La | $61 | 57% |
| La Care | $61 - $134 | 57% |
| Medical Managed Care Program | $61 | 57% |
| Molina Healthcare | $61 | 57% |
| Other Non-Contracted Medi-Cal | $61 | 57% |
| Preferred Ipa | $61 - $168 | 57% |
| Preferred Ipa Of California | $61 | 57% |
| Alhambra Community Dialysis Unit Inc | $78 - $769 | 73% |
| Aids Health Foundation | $87 - $132 | 81% |
| Avanti | $87 - $161 | 81% |
| Bella Vista Medical Group Ancillary | $87 | 81% |
| Central Health Plan | $87 | 81% |
| Emanate Health | $87 - $168 | 81% |
| Hollywood Presbyterian Adv Med Mcal | $87 | 81% |
| Hollywood Presbyterian Medpoint Mcal | $87 | 81% |
| Maxi Med Inc/Ipa | $87 - $134 | 81% |
| Medi Cal | $87 | 81% |
| Pacific Independent Physician Association | $87 - $385 | 81% |
| Veterans Administration | $94 | 88% |
| Bella Vista Medical Group | $108 - $385 | 101% |
| Altamed Health Services Corporation | $109 - $128 | 102% |
| Care 1St M Cal | $109 - $128 | 102% |
| Crown City Medical Group Inc | $109 - $128 | 102% |
| Garfield Medical Center | $109 - $128 | 102% |
| Physician Healthways | $109 - $320 | 102% |
| Universal Care M Cal/Advantage Health Network | $109 - $128 | 102% |
| Aetna | $114 - $933 | 107% |
| Senior Citizens Choice | $119 | 111% |
| Caloptima Direct | $128 | 120% |
| Alignment Health Plan | $130 | 122% |
| Apa/Aco Inc | $132 | 124% |
| Blue Shield Of California | $132 - $641 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| First Health Senior | $132 | 124% |
| Foundation Health Plan | $132 | 124% |
| Health Net | $132 - $833 | 124% |
| Health Net Inc | $132 - $908 | 124% |
| Humana | $132 | 124% |
| Medicare (plans) | $132 - $139 | 124% |
| Scan Health Plan | $132 | 124% |
| Secure Horizons | $132 | 124% |
| Ucla/Impact Cancer | $132 | 124% |
| UnitedHealthcare | $132 - $897 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $134 | 125% |
| La Care Covered Direct | $134 | 125% |
| Self-Pay | $134 | 125% |
| Molina Healthcare Medi-Connect | $139 | 130% |
| San Miguel Health Plan | $148 | 139% |
| Ahmc Health Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Molina Healthcare Of California | $168 | 157% |
| Preferred Health Network | $169 - $1,026 | 158% |
| Interplan | $173 - $962 | 162% |
| Asi Flex Ppo W/C | $178 | 167% |
| Athens Administrators | $178 | 167% |
| Indemnity W Comp Fee Schedule | $178 | 167% |
| Multiplan | $178 - $1,090 | 167% |
| Pacificare | $178 - $445 | 167% |
| Employee Health Systems Medical Group | $218 - $256 | 204% |
| Global Care Medical Group Ipa | $218 - $577 | 204% |
| Healthnet/Ehs Capitation | $218 - $256 | 204% |
| Cigna | $241 | 226% |
| Hispanic Physicians Ipa Medical Corporation | $272 - $320 | 255% |
| Ahmc Reciprocity Agreement Senior/Commercial | $327 - $385 | 306% |
| Allied Physicians Ipa | $327 - $385 | 306% |
| Community Health Plan M Cal Joy Ipa | $327 - $385 | 306% |
| Tenet Reciprocity | $327 - $385 | 306% |
| Healthcare Partners Affiliates Medical Group | $389 - $458 | 364% |
| Health Net Of California | $400 - $767 | 374% |
| Molina Medical Centers | $425 - $500 | 398% |
| Central Health Plan Of California | $436 - $513 | 408% |
| Care 1St Health Plan | $653 - $769 | 611% |
| Greater Los Angeles Dialysis Inc | $653 - $769 | 611% |
| One Health Plan | $653 - $775 | 611% |
| Choice Care Network | $708 - $833 | 663% |
| Healthnet | $708 - $833 | 663% |
| Universal Care | $762 - $897 | 713% |
| Corvel Corporation | $871 - $1,026 | 815% |
| Bce Emergis Corp | $926 - $1,090 | 867% |
| Commercial Non Contract | $1,089 - $1,282 | 1020% |
| Mri/Ct Greater El Monte Hospital | $1,089 - $1,282 | 1020% |
| Mri/Mra/Alhambra Hospital | $1,089 - $1,282 | 1020% |
| Mri/Mra/Eladh | $1,089 - $1,282 | 1020% |
| One Legacy | $1,089 - $1,282 | 1020% |