CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Adventist Health Tehachapi Valley

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $192
Cash Discount Price: $133
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Adventist Health Tehachapi Valley is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.80x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $133 (125%)

Insurance Median: $192 (180%)

Cash: $133 (125% of Medicare)

Ins. Median: $192 (180% 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.

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
Aetna	$38 - $491	36%
Healthnet Mcare	$38 - $359	36%
Tricare	$38 - $359	36%
UnitedHealthcare	$38 - $925	36%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$38 - $359	36%
Ah Employee Health Plan - All Plans	$42 - $1,001	39%
Network Providers- All Plans	$42 - $459	39%
Oscar Health Plan- All Plans	$44 - $171	41%
Cigna	$46 - $1,475	43%
Coventry- All Plans	$46 - $1,699	43%
Healthnet- All Other Plans	$56 - $1,454	52%
Centivo - All Plans	$57 - $807	53%
Western Grwrs/Pinnacle - All Plans	$57 - $793	53%
Blue Shield Epn- All Other Plans	$60 - $799	56%
Blue Shield Non-Epn	$64 - $944	60%
Medi-Cal	$83 - $119	78%
Universal Ipa Mcal Op/Profee Only	$83 - $119	78%
Medicare (plans)	$96 - $359	90%
Kaiser Medi-Cal Ip/Op Only	$119	111%
Bc Mcal	$123	115%
Healthnet Medi-Cal	$146	137%
Khs-Kern Hlth Systm Mcal	$154	144%
Kaiser Ip/Op Only- All Other Plans	$165 - $617	154%
Klhp-Kern Legacy Epo -All Other Plans	$253 - $944	237%
Blue Cross Blue Shield	$263 - $1,089	246%

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 $133.
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 Adventist Health Tehachapi Valley 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.