CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: West Valley Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $876
  • Cash Discount Price: $1,467
  • vs. Medicare Baseline: 8.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at West Valley Medical Center is $876. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,467. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.20x the Medicare baseline. Located in 1717 Arlington Street, Caldwell, ID.
Cash / Self-Pay
$1,467

Average discount available for prompt cash payment at this facility.

Insurance Median
$876

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: $1,467 (1373%)
Insurance Median: $876 (820%)
Cash: $1,467 (1373% of Medicare)
Ins. Median: $876 (820% 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 820% of the Medicare baseline (a markup of 720%). 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
Blue Cross Blue Shield $31 - $1,394 29%
Molina $31 - $59 29%
Regence $219 205%
United $245 - $876 229%
Select Health Idaho (Eirmc Only) $468 438%
Corizon Health $543 508%
True Blue $579 542%
Cigna $821 769%
Pacificsource Health $876 820%
Moda $914 856%
St Luke'S Health Partners $953 892%
Aetna $1,160 1086%
Four Rivers Hospice $1,174 1099%
Multiplan $1,174 1099%
Humana $1,232 1153%
Geha Ppo Usa $1,247 1167%
Coventry First Health $1,320 1236%
St Alphonsus Health $1,320 1236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1717 Arlington Street, Caldwell, ID 83605
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals