CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Cherokee Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $476
Cash Discount Price: $428
vs. Medicare Baseline: 4.46x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Cherokee Regional Medical Center is $476. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $428. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.46x the Medicare baseline. Located in 300 Sioux Valley Drive, Cherokee, IA.

Cash / Self-Pay

$428

Average discount available for prompt cash payment at this facility.

Insurance Median

$476

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: $428 (401%)

Insurance Median: $476 (446%)

Cash: $428 (401% of Medicare)

Ins. Median: $476 (446% 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 446% of the Medicare baseline (a markup of 346%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$252 - $476	236%
Blue Cross Blue Shield	$252 - $476	236%
Health Partners	$252 - $476	236%
Humana	$252 - $476	236%
UnitedHealthcare	$252 - $476	236%
Wellpoint	$252 - $476	236%
Molina	$262 - $476	245%
Admin Concepts	$476	446%
American Republic	$476	446%
Apw	$476	446%
Auxiant	$476	446%
Avera	$476	446%
Bankers Life	$476	446%
Champus	$476	446%
Cigna	$476	446%
Iowa Total Care	$476	446%
Liability	$476	446%
Meridian	$476	446%
Meritain	$476	446%
Midlands	$476	446%
Mutual Of Omaha	$476	446%
Occunet	$476	446%
Physicians Mutual	$476	446%
Private Healthcare	$476	446%
Sanford	$476	446%
United American	$476	446%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $428.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cherokee Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.