CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Uchealth Pikes Peak Regional Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $623
  • Cash Discount Price: $873
  • vs. Medicare Baseline: 5.83x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Uchealth Pikes Peak Regional Hospital is $623. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $873. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.83x the Medicare baseline. Located in 16420 W Us Highway 24, Woodland Park, CO.
Cash / Self-Pay
$873

Average discount available for prompt cash payment at this facility.

Insurance Median
$623

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: $873 (817%)
Insurance Median: $623 (583%)
Cash: $873 (817% of Medicare)
Ins. Median: $623 (583% 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 583% of the Medicare baseline (a markup of 483%). 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
Blue Cross Blue Shield $235 - $496 220%
Aetna $273 - $895 256%
Cigna $273 - $873 256%
Cms $273 256%
Devoted Health $273 256%
Humana $273 256%
Kaiser $273 - $927 256%
Select Health $273 - $945 256%
UnitedHealthcare $273 - $866 256%
Simplified Benefits Administration $500 - $551 468%
Kaiser Public Option $655 613%
Kaiser Kp Select $786 736%
Multiplan/Phcs $862 807%
First Health $927 868%
Rocky Mountain Health Plan $927 868%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16420 W Us Highway 24, Woodland Park, CO 80863
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals