CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercyone Oelwein Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $980
  • Cash Discount Price: $693
  • vs. Medicare Baseline: 9.18x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercyone Oelwein Medical Center is $980. 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 9.18x the Medicare baseline. Located in 201 Eighth Avenue Se, Oelwein, IA.
Cash / Self-Pay
$693

Average discount available for prompt cash payment at this facility.

Insurance Median
$980

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: $980 (918%)
Cash: $693 (649% of Medicare)
Ins. Median: $980 (918% 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 918% of the Medicare baseline (a markup of 818%). 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
Medicare (plans) $407 - $454 381%
Iowa Total Care $413 387%
Medicaid / KanCare $419 - $421 392%
Blue Cross Blue Shield $433 405%
UnitedHealthcare $463 - $757 433%
Aetna $503 - $980 471%
Amish Hospital Aid $581 544%
Centivo $656 614%
Ambetter / Centene $734 687%
Geha $757 709%
Health Choices $785 735%
Medical Associates $785 735%
Claimdoc $878 822%
Nova $878 822%
1199 National Benefit Fund $980 918%
Allied Benefit Systems $980 918%
Asr Health Benefits $980 918%
Christian Brother Services $980 918%
Coventry $980 918%
First Health $980 918%
Lucent Health $980 918%
Luminare Health $980 918%
Medical Mutual $980 918%
Meritain $980 918%
Trustmark Small Business Benefits $980 918%
Webtpa $980 918%
Health Partners $1,025 960%
Multiplan $1,034 968%
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%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Eighth Avenue Se, Oelwein, IA 50662
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals