CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Lucas County Health Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $394
  • Cash Discount Price: $522
  • vs. Medicare Baseline: 3.69x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Lucas County Health Center is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $522. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.69x the Medicare baseline. Located in 1200 North 7Th Street, Chariton, IA.
Cash / Self-Pay
$522

Average discount available for prompt cash payment at this facility.

Insurance Median
$394

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: $522 (489%)
Insurance Median: $394 (369%)
Cash: $522 (489% of Medicare)
Ins. Median: $394 (369% 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 369% of the Medicare baseline (a markup of 269%). 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
Aetna $319 299%
Humana $319 - $493 299%
Medicare (plans) $319 299%
UnitedHealthcare $319 - $452 299%
Occunet $348 326%
Wellmark Hmo $383 359%
Wellmark Ppo $383 359%
Iowa Total Care $406 380%
Molina $406 380%
Midlands Choice $551 516%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 North 7Th Street, Chariton, IA 50049
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals