CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercyone Elkader Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $785
  • Cash Discount Price: $693
  • vs. Medicare Baseline: 7.35x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercyone Elkader Medical Center is $785. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $693. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.35x the Medicare baseline. Located in 901 Davidson Street Nw, Elkader, IA.
Cash / Self-Pay
$693

Average discount available for prompt cash payment at this facility.

Insurance Median
$785

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: $693 (649%)
Insurance Median: $785 (735%)
Cash: $693 (649% of Medicare)
Ins. Median: $785 (735% 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 735% of the Medicare baseline (a markup of 635%). 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 $549 514%
Aetna $554 - $785 519%
Medicare (plans) $560 - $576 524%
UnitedHealthcare $588 - $800 551%
Iowa Total Care $663 621%
Medicaid / KanCare $673 - $676 630%
Amish Hospital Aid $737 690%
1199 National Benefit Fund $785 735%
Allied Benefit Systems $785 735%
Asr Health Benefits $785 735%
Christian Brother Services $785 735%
Coventry $785 735%
First Health $785 735%
Lucent Health $785 735%
Luminare Health $785 735%
Medical Mutual $785 735%
Meritain $785 735%
Trustmark Small Business Benefits $785 735%
Webtpa $785 735%
Geha $800 749%
Centivo $831 778%
Health Choices $853 799%
Medical Associates $853 799%
Ambetter / Centene $931 872%
Health Partners $1,025 960%
Auxiant $1,045 978%
Cigna $1,045 978%
Medica $1,045 978%
Midlands $1,045 978%
Midlands Choice $1,045 978%
Crime Victim Assistance $1,066 998%
Iowa Dept Of Public Health $1,066 998%
Claimdoc $1,114 1043%
Nova $1,114 1043%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 Davidson Street Nw, Elkader, IA 52043
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals