CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Decatur County Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $659
  • Cash Discount Price: $659
  • vs. Medicare Baseline: 6.17x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Decatur County Hospital is $659. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $659. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.17x the Medicare baseline. Located in 1405 Nw Church Street, Leon, IA.
Cash / Self-Pay
$659

Average discount available for prompt cash payment at this facility.

Insurance Median
$659

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: $659 (617%)
Insurance Median: $659 (617%)
Cash: $659 (617% of Medicare)
Ins. Median: $659 (617% 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 617% of the Medicare baseline (a markup of 517%). 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.

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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 $264 247%
Wellmark Hmo $303 284%
Wellmark Ppo - All Other Plans $333 312%
Champva -All Plans $371 347%
Everystep Hospice-All Plans $428 401%
Aetna $445 - $651 417%
Tricare $445 417%
UnitedHealthcare $494 - $700 463%
Benefit Admin System-All Plans $536 502%
Humana $602 564%
Meritain Health-All Plans $602 564%
Misc Commercial-All Plans $602 564%
All Savers-All Plans $618 579%
Allied Benefit System-All Plans $618 579%
American Family Ins Grp-All Plans $618 579%
Rural Carrier Benefit Plan-All Plans $634 594%
Christian Healthcare -All Plans $659 617%
Medica-All Other Plans $659 617%
Golden Rule-All Plans $700 655%
Ntca The Rural Broadband-All Plans $700 655%
Cigna $709 664%
Medical Mutual-All Plans $725 679%
Farm Bureau Financial-All Other Plans $742 695%
Farm Bureau Property And Ca $742 695%
Medi Share-All Plans $750 702%
Uhss-All Plans $750 702%
Health Partners-All Plans $758 710%
Lewermark-All Plans $783 733%
Mail Handlers Benefit-All Plans $808 756%
Midlands Choice-All Plans $808 756%
Priority Health-All Plans $824 771%
Iowa Total Care Mcaid-All Plans $840 786%
Amerigroup Mcaid-All Plans $865 810%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1405 Nw Church Street, Leon, IA 50144
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals