CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $892
Cash Discount Price: $2,301
vs. Medicare Baseline: 8.35x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Healthone Presbyterian St Luke's is $892. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,301. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.35x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.

Cash / Self-Pay

$2,301

Average discount available for prompt cash payment at this facility.

Insurance Median

$892

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: $2,301 (2154%)

Insurance Median: $892 (835%)

Cash: $2,301 (2154% of Medicare)

Ins. Median: $892 (835% 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 835% of the Medicare baseline (a markup of 735%). 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 Cross Blue Shield	$68 - $1,953	64%
Pinnacol Workers Comp	$169	158%
Multiplan	$176 - $2,376	165%
United	$185 - $1,188	173%
Rocky Mountain Health Plan	$245	229%
Vail Health	$282 - $401	264%
Cigna	$318 - $1,689	298%
Kaiser	$372 - $686	348%
Aetna	$557 - $1,394	521%
Bright Health	$557 - $792	521%
Emerging Therapy Solutions	$892 - $1,689	835%
Kaiser National Transplant	$892 - $1,267	835%
Colorado Program For Children With Special Needs	$947 - $1,346	887%
Western Plains Community Health	$1,208 - $1,716	1131%
Northcare	$1,300 - $1,848	1217%
Physician Health Partners	$1,300 - $1,848	1217%
Medical Development International	$1,486 - $2,112	1391%
Prime Health	$1,672 - $2,376	1565%

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 $2,301.
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 HCA Healthone Presbyterian St Luke's 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.