CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Seneca District Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,129
  • Cash Discount Price: $950
  • vs. Medicare Baseline: 10.57x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Seneca District Hospital is $1,129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $950. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.57x the Medicare baseline. Located in 130 Brentwood Drive, Chester, CA.
Cash / Self-Pay
$950

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,129

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: $950 (889%)
Insurance Median: $1,129 (1057%)
Cash: $950 (889% of Medicare)
Ins. Median: $1,129 (1057% 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 1057% of the Medicare baseline (a markup of 957%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medi-Cal $119 111%
Amthem Bc Mcal $121 113%
Ambetter / Centene $146 137%
Partnership Hp-All Plans $418 391%
UnitedHealthcare $451 - $1,164 422%
Tricare $832 779%
Imperial Hp Ma-All Plans $940 880%
Blue Cross Blue Shield $973 - $1,069 911%
Blue Shield Ipf/Ca Exchange $1,059 991%
Beech Street Corp- All Plans $1,129 1057%
Cigna $1,129 1057%
Integrated Hp-All Plans $1,129 1057%
Interplan Corp- All Plans $1,129 1057%
Medincrease- All Plans $1,129 1057%
Multiplan- All Plans $1,129 1057%
Pacificare - All Plans $1,129 1057%
Provider Ntwrk Of America-All Plans $1,129 1057%
Alliance- All Plans $1,152 1079%
Community Care Network - All Plans $1,152 1079%
Coventry- All Plans $1,164 1090%
Northern Nevada Health Network- All Plans $1,164 1090%
Superior California Ppo - All Plans $1,164 1090%
Blue Shield Of Ca- All Other Plans $1,176 1101%
Healthnet - All Other Plans $1,176 1101%
Three Rivers- All Plans $1,176 1101%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Brentwood Drive, Chester, CA 96020
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals