CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Adventist Health Tulare

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $134
  • Cash Discount Price: $194
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Adventist Health Tulare is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $194. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$194

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: $194 (182%)
Insurance Median: $134 (125%)
Cash: $194 (182% 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
Blue Shield Mcare $38 - $134 36%
Fhcn Pace Mcr Adv - All Plans $38 - $134 36%
Medicare (plans) $38 - $134 36%
Tricare $38 - $134 36%
UnitedHealthcare $38 - $1,371 36%
Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot $38 36%
Ah Employee Health Plan - All Plans $42 - $242 39%
Incentive Hlth - All Plans $42 - $242 39%
Hs Interplan-All Plans $48 - $1,268 45%
Cal Forensic Med Grp - All Plans $50 - $175 47%
Cigna $50 - $876 47%
Blue Cross Blue Shield $56 - $577 52%
Healthnet Hmo/Ppo - All Other Plans $56 - $358 52%
Blue Shield Epn $60 - $598 56%
Blue Shield-All Other Plans $64 - $827 60%
Ccipa Medi-Cal - All Plans $83 - $155 78%
Healthnet Medi-Cal $83 - $156 78%
Medi-Cal $83 - $119 78%
Upn-United Physcn Ntwrk Mcal Profee Only $83 78%
Aetna $88 - $547 82%
Dignity Mcal Op Only $131 123%
Independence Op Only - All Plans $131 123%
Dignity Mcr Op Only - All Other Plans $134 125%
Prime Health - All Plans $134 125%
Prison Hlthcre - All Plans $172 161%
Bright Health - All Plans $195 183%
Western Growers - All Plans $871 815%
Network By Design-All Plans $1,325 1241%
Multiplan - All Plans $1,609 1506%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals