CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Trinity Muscatine

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $100
Cash Discount Price: $177
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Trinity Muscatine is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $177. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.94x the Medicare baseline. Located in 1518 Mulberry Avenue, Muscatine, IA.

Cash / Self-Pay

$177

Average discount available for prompt cash payment at this facility.

Insurance Median

$100

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: $177 (166%)

Insurance Median: $100 (94%)

Cash: $177 (166% of Medicare)

Ins. Median: $100 (94% 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.

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
Aetna	$26 - $275	24%
Ambetter / Centene	$26 - $157	24%
Blue Cross Blue Shield	$26 - $189	24%
Health Alliance	$26 - $100	24%
Humana	$27 - $103	25%
Meridian Health Plan	$27 - $103	25%
UnitedHealthcare	$27 - $320	25%
Wellmark Uph Self-Funded	$49 - $189	46%
Cigna	$54 - $449	51%
Health Partners Open Network	$54 - $286	51%
Bc Illinois Community	$64 - $268	60%
Amerigroup	$92	86%
Iowa Total Care	$92	86%
Medica Exchange Inspire	$300	281%
Medica Exchange Insure	$336	315%

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 $177.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Trinity Muscatine is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.