CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Adventist Health Mendocino Coast

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $330
Cash Discount Price: $237
vs. Medicare Baseline: 3.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Adventist Health Mendocino Coast is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $237. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.09x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.

Cash / Self-Pay

$237

Average discount available for prompt cash payment at this facility.

Insurance Median

$330

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: $237 (222%)

Insurance Median: $330 (309%)

Cash: $237 (222% of Medicare)

Ins. Median: $330 (309% 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 309% of the Medicare baseline (a markup of 209%). 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
Cigna	$28 - $672	26%
Tricare	$28 - $422	26%
UnitedHealthcare	$28 - $698	26%
Blue Cross Blue Shield	$30 - $370	28%
Ah Employee Health Plan - All Plans	$31 - $448	29%
Healthnet - All Plans	$41 - $561	38%
Blue Shield Epn	$44 - $326	41%
Blue Shield - All Other Plans	$46 - $662	43%
Medi-Cal	$61 - $87	57%
Partnership Hp Mcal-All Plans	$88 - $261	82%
Ahcc - All Plans	$109 - $776	102%
Beech Street - All Plans	$109 - $776	102%
Great West Hmo/Pos/Epo/Oa	$109 - $560	102%
Great West Ppo - All Other Plans	$109 - $603	102%
Multiplan - All Plans	$109 - $603	102%

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 $237.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Mendocino Coast is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.