CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mayers Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $386
Cash Discount Price: $356
vs. Medicare Baseline: 3.61x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mayers Memorial Hospital is $386. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $356. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.61x the Medicare baseline. Located in 43563 Hwy 299 East, Fall River Mills, CA.

Cash / Self-Pay

$356

Average discount available for prompt cash payment at this facility.

Insurance Median

$386

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: $356 (333%)

Insurance Median: $386 (361%)

Cash: $356 (333% of Medicare)

Ins. Median: $386 (361% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 361% of the Medicare baseline (a markup of 261%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Shield Ca Va	$36 - $363	34%
Blue Shield Mcr Adv	$36 - $363	34%
Tricare	$36 - $382	34%
Health Net Mcr Adv	$38 - $382	36%
Arcadian Health Services-All Plans	$40 - $382	37%
Imperial Health Plan-All Plans	$43 - $432	40%
Medi-Cal	$83 - $119	78%
Cigna	$126 - $550	118%
Corvel Ppo-All Plans	$126 - $550	118%
Coventry/First Health-All Plans	$126 - $550	118%
Integrated Hp-All Plans	$126 - $550	118%
Interplan-All Plans	$126 - $550	118%
Blue Cross Blue Shield	$386 - $495	361%
Health Net Prison	$416	389%
Partnership Hp-All Plans	$477	447%
Blue Shield Ca Exchange	$495	463%
Blue Shield-All Other Plans	$550	515%
Hmn-All Plans	$550	515%
Multiplan Phcs-All Plans	$550	515%
Pfmc-All Plans	$550	515%
Superior Ca-All Plans	$550	515%
Health Net-All Other Plans	$576	539%
Pacificare-All Plans	$579	542%

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 $356.
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 Mayers Memorial Hospital 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.