CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Casa Colina Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $134
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Casa Colina Hospital is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

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: $175 (164%)
Insurance Median: $134 (125%)
Cash: $175 (164% of Medicare)
Ins. Median: $134 (125% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Heritage Prvdr Ntwrk Mcal $108 101%
Medi-Cal $119 111%
Prospect Hp Mcal $121 113%
Heritage Prvdr Ntwrk Comm - All Other Plans $126 118%
Heritage Prvdr Ntwrk Mcr $126 118%
Promed Hlth Ntwrk Op Only - All Plans $128 120%
Healthnet Comm - All Other Plans $129 121%
Kaiser Mcal $131 123%
Aetna $134 - $161 125%
Blue Cross Blue Shield $134 - $184 125%
Blue Shield Mcr Adv $134 125%
Caremore Mcr Adv - All Plans $134 125%
Central Hlth Plan - All Plans $134 125%
Doctors Managed Op Only - All Plans $134 125%
Empire Healthcare Op Only - All Plans $134 125%
Epic Comm - All Other Plans $134 125%
Epic Mcr Adv $134 125%
Focus Healthcare Wc - All Plans $134 125%
Healthnet Mcr Adv $134 125%
Humana $134 - $157 125%
Iehp - All Other Plans $134 125%
Iehp Mcr Adv $134 125%
Kaiser Comm - All Other Plans $134 125%
Kaiser Mcr Adv $134 125%
Premiercare Op Only - All Plans $134 125%
Prospect Hp Mcr Adv $134 125%
Triwest - All Plans $134 125%
UnitedHealthcare $134 - $157 125%
Wellcare Mcr Adv - All Plans $134 125%
Prospect Hp Comm - All Other Plans $148 139%
Corvel - All Plans $157 147%
Coventry - All Plans $157 147%
Multiplan - All Plans $157 147%
Three Rivers - All Plans $157 147%
Affiliated Hlth Funds - All Plans $168 157%
Brand New Day Mcr Adv - All Plans $189 177%
Galaxy Provdr Ntwrk - All Plans $220 206%
Blue Shield Comm - All Other Plans $233 218%
Healthcare Partners - All Other Plans $252 236%
Healthcare Partners Mcr $252 236%
Primecare Comm - All Other Plans $252 236%
Primecare Mcr Adv $252 236%
Prospect Med Grp Alta - All Plans $267 250%
Cigna $288 270%
Iehp Mcal $298 279%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals