CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mercy Medical Center-New Hampton

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $809
  • Cash Discount Price: $556
  • vs. Medicare Baseline: 7.57x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mercy Medical Center-New Hampton is $809. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $556. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.57x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$556

Average discount available for prompt cash payment at this facility.

Insurance Median
$809

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: $556 (521%)
Insurance Median: $809 (757%)
Cash: $556 (521% of Medicare)
Ins. Median: $809 (757% 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 757% of the Medicare baseline (a markup of 657%). 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 $339 317%
Aetna $342 - $809 320%
Medicare (plans) $346 - $382 324%
UnitedHealthcare $363 - $514 340%
Health Choices $432 404%
Medical Associates $432 404%
Amish Hospital Aid $455 426%
Oscar $503 471%
Geha $514 481%
Ambetter / Centene $575 538%
Iowa Total Care $585 548%
Medicaid / KanCare $594 - $596 556%
Claimdoc $688 644%
Nova $688 644%
1199 National Benefit Fund $809 757%
Allied Benefit Systems $809 757%
Asr Health Benefits $809 757%
Coventry $809 757%
First Health $809 757%
Lucent Health $809 757%
Luminare Health $809 757%
Medical Mutual $809 757%
Meritain $809 757%
Trustmark Small Business Benefits $809 757%
Webtpa $809 757%
First Choice Health $813 761%
Health Partners $823 771%
Auxiant $830 777%
Cigna $830 777%
Medica $830 777%
Midlands $830 777%
Midlands Choice $830 777%
Crime Victim Assistance $856 801%
Iowa Dept Of Public Health $856 801%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals