CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Saint Joseph Regional Medical Center

Billing Code: 76705 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$71

about 0.7× the $107 Medicare rate · typically $61–$99

modeled estimate · not a bill or quote

What this hospital charges insurers

$78

About the fair price

about $7 over the fair price · 0.7× Medicare

Medicare pays $107 Fair price $71 This hospital $78 Hospital's list price $201

How we calculate the fair BaseRate →

How this hospital compares to other IN hospitals

Highest price of the 9 IN hospitals we have prices for — worth calling around.

Cheapest $26 Priciest $78

Black dot = this hospital, among the 9 IN hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, abdomen (limited) is about $71 (about 0.7× the $107 Medicare rate). Saint Joseph Regional Medical Center charges insurers about $78 — about the fair price. Located in Mishawaka, IN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$18 - $730	17%
Blue Cross Blue Shieldmajor	$26 - $391	24%
Aetnamajor	$26 - $745	24%
Cignamajor	$26 - $733	24%
Humanamajor	$26 - $79	24%
Kaiser Permanentemajor	$45 - $110	42%
Ambetter (Centene)	$26 - $78	24%
CareSource	$34 - $171	32%
Clover Health	$26 - $79	24%
GEHA	$42 - $730	39%
Health Net	$26 - $848	24%
HealthPartners	$26 - $733	24%
Medical Mutual	$745	698%
Meridian	$26 - $111	24%
Molina	$26 - $78	24%
MVP Health Care	$733	686%
Paramount	$26 - $78	24%
Presbyterian	$26 - $79	24%
Priority Health	$733	686%
Tufts Health Plan	$26 - $78	24%
WellMed	$26 - $79	24%
WellSense	$26 - $78	24%
+ 367 smaller / regional plans	$26 - $1,146

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 11 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76705.

Insurance Before you use insurance

Call your insurance company to confirm Saint Joseph Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 76705.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Joseph Regional Medical Center

Compare: Ultrasound, abdomen (limited) at other IN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.