CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $118
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Southeast Iowa Regional Medical Center is $118. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$118

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%)
Insurance Median: $118 (110%)
Ins. Median: $118 (110% 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
American Healthplan Of Iowa - Midlevel $21 - $67 20%
Medicaid / KanCare $24 - $67 22%
Aetna $26 - $79 24%
Humana $27 - $83 25%
American Healthplan Of Iowa - Md $29 - $88 27%
Blue Cross Blue Shield $49 - $272 46%
UnitedHealthcare $54 - $165 51%
Midlands Choice $59 - $633 55%
Immergrun $67 63%
6 Degree $85 - $562 80%
Plain Church $93 - $457 87%
Absolute Solutions $129 - $284 121%
First Agency $129 - $284 121%
Multiplan $129 - $284 121%
Henderson County $136 - $300 127%
Elap $163 - $233 153%
Wellpoint (Amerigroup) $394 369%
Immugrun $443 415%
Brighton Amish Church $457 428%
Geha $654 612%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1221 South Gear Avenue, West Burlington, IA 52655
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals