CMS Price Transparency Data
Ultrasound, abdomen (limited)
Facility: Greater El Monte Community Hospital
Billing Code: 76705 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76705
- Insurance Median: $348
- Cash Discount Price: $1,059
- vs. Medicare Baseline: 3.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Greater El Monte Community Hospital is $348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,059. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.26x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$1,059
Average discount available for prompt cash payment at this facility.
Insurance Median
$348
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: $1,059 (991%)
Insurance Median: $348 (326%)
Cash: $1,059 (991% of Medicare)
Ins. Median: $348 (326% 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 326% of the Medicare baseline (a markup of 226%). 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 - $670 | 18% |
| In Custody-Ca Highway Patrol | $20 | 19% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $46 - $134 | 43% |
| Care First Health Plan | $46 - $134 | 43% |
| Clinica Medica Familiar | $55 - $670 | 51% |
| Aids Health Foundation | $61 - $132 | 57% |
| Allied Physicians Medical Group | $61 - $402 | 57% |
| Altamed Health Network | $61 - $132 | 57% |
| Avanti | $61 - $161 | 57% |
| Beverly Hospital | $61 - $148 | 57% |
| Brand New Day | $61 - $168 | 57% |
| Emanate Health | $61 - $168 | 57% |
| Health Net Foundation | $61 - $871 | 57% |
| Healthy Way La | $61 | 57% |
| La Care Health Plan | $61 - $737 | 57% |
| Other Non Contracted Medi-Cal Hmo | $61 | 57% |
| State Of California | $61 | 57% |
| Allied Physicians | $87 - $198 | 81% |
| Associated Hispanic Physicians | $87 - $121 | 81% |
| Hollywood Presbyterian Adv Med Mcal | $87 | 81% |
| Hollywood Presbyterian Medpoint Mcal | $87 | 81% |
| Caloptima | $89 | 83% |
| Bella Vista Medical Group Ipa | $91 - $603 | 85% |
| Employee Health Systems Medical Group | $91 - $268 | 85% |
| Global Care Medical Group Ipa | $91 - $603 | 85% |
| Veterans Administration | $94 | 88% |
| Alta Med Health Services Med Grp | $114 - $335 | 107% |
| Apa/Aco Inc | $132 | 124% |
| Blue Shield Of California | $132 - $670 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| Health Net Inc | $132 - $949 | 124% |
| Other Non Contracted Senior Hmo | $132 | 124% |
| Pacific Alliance Medical Center Reciprocal Contract | $132 | 124% |
| Scan Health Plan | $132 | 124% |
| UnitedHealthcare | $132 - $1,150 | 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 - $804 | 125% |
| La Care Covered Direct | $134 | 125% |
| Pacificare Of California | $134 - $1,160 | 125% |
| Self-Pay | $134 | 125% |
| Ahmc Reciprocity Agreement | $137 - $402 | 128% |
| Ahmc Reciprocity Agreement Senior/Commercial | $137 - $402 | 128% |
| Lincoln Hospital Medical Center | $137 - $402 | 128% |
| Alignment Health Plan | $139 | 130% |
| Molina Healthcare | $139 | 130% |
| Inter Valley Health Plan | $141 | 132% |
| Molina Healthcare Of California | $141 - $523 | 132% |
| San Miguel Health Plan | $148 | 139% |
| Central Health Plan | $156 - $938 | 146% |
| 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 - $1,005 | 162% |
| Athens Administrators | $179 | 168% |
| Multiplan | $179 - $1,139 | 168% |
| Other Non Contracted Work Comp | $179 | 168% |
| California Thoroughbred Horesmans Foundation | $228 - $670 | 213% |
| Universal Care | $228 - $938 | 213% |
| Cigna | $241 | 226% |
| Care 1St Health Plan | $274 - $804 | 257% |
| Cost Containment Strategies | $297 - $871 | 278% |
| In Custody Police Dept | $297 - $871 | 278% |
| Community Care Network | $366 - $1,072 | 343% |
| Health Payors Organization | $411 - $1,206 | 385% |
| Commercial Non Contract | $457 - $1,340 | 428% |
| Medi-Cal Sub Acute | $457 - $1,340 | 428% |
| Nuclear Medicine/Whmc | $457 - $1,340 | 428% |
| One Legacy | $457 - $1,340 | 428% |