CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Gunnison Valley Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $247
Cash Discount Price: $540
vs. Medicare Baseline: 2.31x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Gunnison Valley Hospital is $247. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $540. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.31x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$540

Average discount available for prompt cash payment at this facility.

Insurance Median

$247

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: $540 (506%)

Insurance Median: $247 (231%)

Cash: $540 (506% of Medicare)

Ins. Median: $247 (231% 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 231% of the Medicare baseline (a markup of 131%). 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	$34 - $992	32%
Medicare (plans)	$37 - $496	35%
Aetna	$54 - $972	51%
Apostrophe-All Plans	$62 - $911	58%
Medicaid / KanCare	$101 - $225	95%
Gunnison County Sheriff Op & Profee Only	$132 - $519	124%
Ebms Hdhp	$154 - $607	144%
Tetwp Op & Profee Only-All Plans	$154 - $607	144%
U Of Co Transplant-All Plans	$154 - $607	144%
Ebms Ppo Plan-All Other Plans	$180 - $708	169%
Gunnison County Employees-All Other Plans	$206 - $810	193%
Scottish Rites-All Plans	$206 - $810	193%
Elap Employers-All Plans	$219 - $860	205%
Blue Cross Blue Shield	$226 - $887	212%
Multiplan-All Plans	$232 - $941	217%
Rocky Mountain Health-All Plans	$245 - $961	229%
UnitedHealthcare	$245 - $961	229%
Cofinity-All Plans	$247 - $972	231%
Gunnison County Coroner Op Only	$519	486%

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 $540.
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 Gunnison Valley 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.