CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Gunnison Valley Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $177
  • Cash Discount Price: $159
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Gunnison Valley Hospital is $177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.66x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.
Cash / Self-Pay
$159

Average discount available for prompt cash payment at this facility.

Insurance Median
$177

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: $159 (149%)
Insurance Median: $177 (166%)
Cash: $159 (149% of Medicare)
Ins. Median: $177 (166% 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.

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
Cigna $24 - $665 22%
Medicare (plans) $27 - $333 25%
Aetna $39 - $652 37%
Apostrophe-All Plans $45 - $611 42%
Medicaid / KanCare $76 - $148 71%
Gunnison County Sheriff Op & Profee Only $96 - $349 90%
Ebms Hdhp $112 - $407 105%
Tetwp Op & Profee Only-All Plans $112 - $407 105%
U Of Co Transplant-All Plans $112 - $407 105%
Ebms Ppo Plan-All Other Plans $130 - $475 122%
Gunnison County Employees-All Other Plans $149 - $543 140%
Scottish Rites-All Plans $149 - $543 140%
Elap Employers-All Plans $158 - $577 148%
Blue Cross Blue Shield $163 - $595 153%
Multiplan-All Plans $168 - $631 157%
Rocky Mountain Health-All Plans $177 - $645 166%
UnitedHealthcare $177 - $645 166%
Cofinity-All Plans $179 - $652 168%
Gunnison County Coroner Op Only $349 327%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 711 N Taylor St, Gunnison, CO 81230
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals