CMS Price Transparency Data
Ultrasound, abdomen (complete)
Facility: Greater El Monte Community Hospital
Billing Code: 76700 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76700
- Insurance Median: $408
- Cash Discount Price: $1,367
- vs. Medicare Baseline: 3.82x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Greater El Monte Community Hospital is $408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,367. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.82x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$1,367
Average discount available for prompt cash payment at this facility.
Insurance Median
$408
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: $1,367 (1280%)
Insurance Median: $408 (382%)
Cash: $1,367 (1280% of Medicare)
Ins. Median: $408 (382% 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 382% of the Medicare baseline (a markup of 282%). 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 |
|---|---|---|
| In Custody-Ca Highway Patrol | $20 | 19% |
| Blue Cross Blue Shield | $26 - $732 | 24% |
| Aids Health Foundation | $57 - $132 | 53% |
| Allied Physicians Medical Group | $57 - $440 | 53% |
| Altamed Health Network | $57 - $132 | 53% |
| Avanti | $57 - $161 | 53% |
| Beverly Hospital | $57 - $148 | 53% |
| Brand New Day | $57 - $168 | 53% |
| Emanate Health | $57 - $168 | 53% |
| Health Net Foundation | $57 - $952 | 53% |
| Healthy Way La | $57 - $83 | 53% |
| La Care Health Plan | $57 - $806 | 53% |
| Other Non Contracted Medi-Cal Hmo | $57 - $83 | 53% |
| State Of California | $57 - $83 | 53% |
| Allied Physicians | $82 - $198 | 77% |
| Associated Hispanic Physicians | $82 - $121 | 77% |
| Hollywood Presbyterian Adv Med Mcal | $82 - $119 | 77% |
| Hollywood Presbyterian Medpoint Mcal | $82 - $119 | 77% |
| Caloptima | $84 - $122 | 79% |
| Veterans Administration | $94 | 88% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $105 - $146 | 98% |
| Care First Health Plan | $105 - $146 | 98% |
| Clinica Medica Familiar | $126 - $732 | 118% |
| Apa/Aco Inc | $132 | 124% |
| Blue Shield Of California | $132 - $839 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| Health Net Inc | $132 - $1,037 | 124% |
| Other Non Contracted Senior Hmo | $132 | 124% |
| Pacific Alliance Medical Center Reciprocal Contract | $132 | 124% |
| Scan Health Plan | $132 | 124% |
| UnitedHealthcare | $132 - $1,258 | 124% |
| Champus Foundation | $134 | 125% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $134 | 125% |
| Good Samaritan Medical Practice Assoc | $134 - $879 | 125% |
| La Care Covered Direct | $134 | 125% |
| Pacificare Of California | $134 - $1,269 | 125% |
| Self-Pay | $134 | 125% |
| Alignment Health Plan | $139 | 130% |
| Molina Healthcare | $139 | 130% |
| Inter Valley Health Plan | $141 | 132% |
| Molina Healthcare Of California | $141 - $571 | 132% |
| Central Health Plan | $147 - $1,026 | 138% |
| San Miguel Health Plan | $148 | 139% |
| Chinatown Service Center Pace | $159 | 149% |
| Intercomp | $161 | 151% |
| Ahmc Health Self-Insurance Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Preferred Health Network | $170 | 159% |
| Interplan | $173 - $1,099 | 162% |
| Athens Administrators | $179 | 168% |
| Multiplan | $179 - $1,245 | 168% |
| Other Non Contracted Work Comp | $179 | 168% |
| Bella Vista Medical Group Ipa | $209 - $659 | 196% |
| Employee Health Systems Medical Group | $209 - $293 | 196% |
| Global Care Medical Group Ipa | $209 - $659 | 196% |
| Cigna | $241 | 226% |
| Alta Med Health Services Med Grp | $262 - $366 | 245% |
| Ahmc Reciprocity Agreement | $314 - $440 | 294% |
| Ahmc Reciprocity Agreement Senior/Commercial | $314 - $440 | 294% |
| Lincoln Hospital Medical Center | $314 - $440 | 294% |
| California Thoroughbred Horesmans Foundation | $524 - $732 | 491% |
| Universal Care | $524 - $1,026 | 491% |
| Care 1St Health Plan | $628 - $879 | 588% |
| Cost Containment Strategies | $681 - $952 | 638% |
| In Custody Police Dept | $681 - $952 | 638% |
| Community Care Network | $838 - $1,172 | 785% |
| Health Payors Organization | $942 - $1,318 | 882% |
| Commercial Non Contract | $1,047 - $1,465 | 980% |
| Medi-Cal Sub Acute | $1,047 - $1,465 | 980% |
| Nuclear Medicine/Whmc | $1,047 - $1,465 | 980% |
| One Legacy | $1,047 - $1,465 | 980% |