CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Adventist Health Tulare

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $116
  • Cash Discount Price: $140
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Adventist Health Tulare is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$140

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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: $140 (131%)
Insurance Median: $116 (109%)
Cash: $140 (131% of Medicare)
Ins. Median: $116 (109% 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 $28 - $134 26%
Fhcn Pace Mcr Adv - All Plans $28 - $134 26%
Medicare (plans) $28 - $134 26%
Tricare $28 - $134 26%
UnitedHealthcare $28 - $986 26%
Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot $28 26%
Ah Employee Health Plan - All Plans $31 - $242 29%
Incentive Hlth - All Plans $31 - $242 29%
Hs Interplan-All Plans $35 - $913 33%
Cal Forensic Med Grp - All Plans $36 - $175 34%
Cigna $36 - $631 34%
Blue Cross Blue Shield $41 - $415 38%
Healthnet Hmo/Ppo - All Other Plans $41 - $358 38%
Blue Shield Epn $44 - $430 41%
Blue Shield-All Other Plans $46 - $595 43%
Ccipa Medi-Cal - All Plans $61 - $113 57%
Healthnet Medi-Cal $61 - $114 57%
Medi-Cal $61 - $87 57%
Upn-United Physcn Ntwrk Mcal Profee Only $61 57%
Aetna $71 - $444 66%
Dignity Mcal Op Only $96 90%
Independence Op Only - All Plans $96 90%
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 $627 587%
Network By Design-All Plans $953 892%
Multiplan - All Plans $1,158 1084%

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