CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Clearwater Valley Hospital & Clinics

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $326
  • Cash Discount Price: $305
  • vs. Medicare Baseline: 3.05x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Clearwater Valley Hospital & Clinics is $326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $305. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.05x the Medicare baseline. Located in 301 Cedar Street, Orofino, ID.
Cash / Self-Pay
$305

Average discount available for prompt cash payment at this facility.

Insurance Median
$326

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: $305 (286%)
Insurance Median: $326 (305%)
Cash: $305 (286% of Medicare)
Ins. Median: $326 (305% 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 305% of the Medicare baseline (a markup of 205%). 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
Humana $36 - $685 34%
Nimiipuu Mcr Adv-All Plans $36 - $385 34%
Regence Blue Shield Mcr $36 - $381 34%
Veterans Amin-All Plans $36 - $381 34%
Pacific Source - All Plans $37 - $381 35%
Blue Cross Blue Shield $41 - $515 38%
Aetna $57 - $657 53%
UnitedHealthcare $67 63%
Cigna $75 - $635 70%
Idaho Phys Network-All Plans $102 - $671 95%
Multiplan / Phcs-All Plans $103 - $685 96%
Geha-All Plans $104 - $692 97%
First Choice-All Plans $105 - $692 98%
Corizon Correctnal Med-All Plans $116 - $515 109%
Regence Blue Shield-All Other Plans $706 661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Cedar Street, Orofino, ID 83544
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals