CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Wilcox Memorial Hospital

Billing Code: 76705 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$109

about 1.0× the $107 Medicare rate · typically $109–$115

modeled estimate · not a bill or quote

What this hospital charges insurers

$124

About the fair price

about $15 over the fair price · 1.2× Medicare

Medicare pays $107 Fair price $109 This hospital $124 Cash price $254 Hospital's list price $424

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

Highest price of the 9 HI hospitals we have prices for — worth calling around.

Cheapest $54 Priciest $124

Black dot = this hospital, among the 9 HI hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, abdomen (limited) is about $109 (about 1.0× the $107 Medicare rate). Wilcox Memorial Hospital charges insurers about $124, or about $254 in cash — about the fair price. Located in Lihue, HI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Kaiser Permanente Blue Cross Blue ShieldAetnaCignaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$47	44%
Kaiser Permanentemajor	$203 - $474	190%
Devoted Health	$141	132%
+ 8 smaller / regional plans	$47 - $474

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 254), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76705.

Insurance Before you use insurance

Call your insurance company to confirm Wilcox Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76705.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wilcox Memorial Hospital

Compare: Ultrasound, abdomen (limited) at other HI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.