CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Cass County Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $294
Cash Discount Price: $481
vs. Medicare Baseline: 2.75x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Cass County Memorial Hospital is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $481. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.75x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.

Cash / Self-Pay

$481

Average discount available for prompt cash payment at this facility.

Insurance Median

$294

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: $481 (450%)

Insurance Median: $294 (275%)

Cash: $481 (450% of Medicare)

Ins. Median: $294 (275% 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 275% of the Medicare baseline (a markup of 175%). 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
Midlands Choice Medica Mcr	$137	128%
UnitedHealthcare	$151 - $289	141%
Triwest - All Plans	$280	262%
Aetna	$289 - $653	271%
Amerigroup Mcr Adv - All Other Plans	$289	271%
Medica Mcr Adv	$289	271%
Tricare	$289	271%
Va Ccn - All Plans	$289	271%
Wellmark Mcr Adv	$291	272%
Iowa Total Care Mcaid	$294	275%
Iowa Total Care Mcr	$294	275%
Molina Mcaid - All Plans	$294	275%
American Hlth Mcr Adv - All Plans	$297	278%
Medicaid / KanCare	$297	278%
Iowa Total Care Comm - All Other Plans	$317	297%
Wellmark Hmo	$395	370%
Wellmark Ppo - All Other Plans	$434	406%
Midlands Choice New Bus	$447	419%
Medica Comm - All Other Plans	$605	566%
Midlands Choice Pho (Ppo) - All Other Plans	$618	579%
Multiplan - All Plans	$653	611%

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 $481.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cass County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.