CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Cass County Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $241
Cash Discount Price: $393
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Cass County Memorial Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $393. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.26x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.

Cash / Self-Pay

$393

Average discount available for prompt cash payment at this facility.

Insurance Median

$241

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: $393 (368%)

Insurance Median: $241 (226%)

Cash: $393 (368% of Medicare)

Ins. Median: $241 (226% 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 226% of the Medicare baseline (a markup of 126%). 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	$112	105%
UnitedHealthcare	$151 - $236	141%
Triwest - All Plans	$229	214%
Aetna	$236 - $534	221%
Amerigroup Mcr Adv - All Other Plans	$236	221%
Medica Mcr Adv	$236	221%
Tricare	$236	221%
Va Ccn - All Plans	$236	221%
Wellmark Mcr Adv	$238	223%
Iowa Total Care Mcaid	$241	226%
Iowa Total Care Mcr	$241	226%
Molina Mcaid - All Plans	$241	226%
American Hlth Mcr Adv - All Plans	$243	228%
Medicaid / KanCare	$243	228%
Wellmark Hmo	$254	238%
Iowa Total Care Comm - All Other Plans	$260	243%
Wellmark Ppo - All Other Plans	$279	261%
Midlands Choice New Bus	$365	342%
Medica Comm - All Other Plans	$495	463%
Midlands Choice Pho (Ppo) - All Other Plans	$506	474%
Multiplan - All Plans	$534	500%

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 $393.
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 Cass County Memorial Hospital 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.