CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Adventist Health Tehachapi Valley

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $172
  • Cash Discount Price: $104
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Adventist Health Tehachapi Valley is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.61x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.
Cash / Self-Pay
$104

Average discount available for prompt cash payment at this facility.

Insurance Median
$172

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: $104 (97%)
Insurance Median: $172 (161%)
Cash: $104 (97% of Medicare)
Ins. Median: $172 (161% 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
Aetna $28 - $399 26%
Healthnet Mcare $28 - $254 26%
Tricare $28 - $254 26%
UnitedHealthcare $28 - $655 26%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla $28 - $254 26%
Ah Employee Health Plan - All Plans $31 - $709 29%
Network Providers- All Plans $31 - $325 29%
Oscar Health Plan- All Plans $32 - $171 30%
Cigna $34 - $1,045 32%
Coventry- All Plans $34 - $1,204 32%
Healthnet- All Other Plans $41 - $1,030 38%
Centivo - All Plans $42 - $572 39%
Western Grwrs/Pinnacle - All Plans $42 - $562 39%
Blue Shield Epn- All Other Plans $44 - $566 41%
Blue Shield Non-Epn $46 - $669 43%
Medi-Cal $61 - $87 57%
Universal Ipa Mcal Op/Profee Only $61 - $87 57%
Medicare (plans) $78 - $254 73%
Kaiser Medi-Cal Ip/Op Only $87 81%
Bc Mcal $90 84%
Healthnet Medi-Cal $107 100%
Khs-Kern Hlth Systm Mcal $112 105%
Kaiser Ip/Op Only- All Other Plans $134 - $437 125%
Klhp-Kern Legacy Epo -All Other Plans $206 - $669 193%
Blue Cross Blue Shield $213 - $772 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Magellan, Tehachapi, CA 93561
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals