CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Loma Linda University Children's Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $677
Cash Discount Price: $1,269
vs. Medicare Baseline: 6.34x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Loma Linda University Children's Hospital is $677. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,269. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.34x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$1,269

Average discount available for prompt cash payment at this facility.

Insurance Median

$677

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: $1,269 (1188%)

Insurance Median: $677 (634%)

Cash: $1,269 (1188% of Medicare)

Ins. Median: $677 (634% 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 634% of the Medicare baseline (a markup of 534%). 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
Alpha Care Medical Group	$135 - $203	126%
Dignity Health	$135 - $203	126%
Epic Health Plan	$135 - $1,128	126%
Inland Empire Health Plan (Iehp)	$135 - $140	126%
Kaiser Foundation Hospitals	$135 - $1,882	126%
Upland Medical Group	$135	126%
Vantage Medical Group	$135 - $203	126%
Molina Healthcare Of Ca	$170 - $181	159%
Heritage Provider Network	$222	208%
UnitedHealthcare	$247	231%
Adventist Health	$564	528%
Lluh Dept Of Risk Management	$677	634%
Blue Shield Of California	$1,140 - $1,726	1067%
Global Benefits Group	$1,693	1585%
Temecula Valley Physicians Medical Group	$1,693	1585%
Trivalley Medical Group	$1,693	1585%
Blue Cross Blue Shield	$1,732	1622%
Cigna	$1,805 - $2,088	1690%
Networks By Design	$1,834	1717%
Aetna	$1,850	1732%
Multiplan	$2,257	2113%
Galaxy Health	$2,398	2245%
Prime Health Services	$2,398	2245%

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 $1,269.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Loma Linda University Children's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.