CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Thomas More Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,167
  • Cash Discount Price: $686
  • vs. Medicare Baseline: 10.93x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St Thomas More Hospital is $1,167. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $686. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.93x the Medicare baseline. Located in 1338 Phay Ave, Canon City, CO.
Cash / Self-Pay
$686

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,167

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: $686 (642%)
Insurance Median: $1,167 (1093%)
Cash: $686 (642% of Medicare)
Ins. Median: $1,167 (1093% 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 1093% of the Medicare baseline (a markup of 993%). 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
Centura Employee Plan $205 192%
Aetna $257 - $1,545 241%
Blue Cross Blue Shield $257 - $1,510 241%
Cigna $257 - $1,476 241%
Devoted Health $257 241%
Humana $257 241%
Innovage $257 241%
Kaiser $257 - $1,475 241%
Medicare (plans) $257 241%
UnitedHealthcare $257 - $1,510 241%
Denver Health $753 705%
United Colorado Doctor'S Plan $1,359 1272%
Direct To Employer $1,407 1317%
Multiplan $1,459 1366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1338 Phay Ave, Canon City, CO 81212
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals