CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Bluffton Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $194
  • Cash Discount Price: $387
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Bluffton Regional Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.82x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$387

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $387 (362%)
Insurance Median: $194 (182%)
Cash: $387 (362% of Medicare)
Ins. Median: $194 (182% 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.

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
Amish Aid $18 - $732 17%
Self Pay $18 - $1,677 17%
Physicians Health Plan $19 - $202 18%
Lutheran Preferred Network $23 - $2,439 22%
Cigna $24 - $1,079 22%
Php Freedom Network $24 - $250 22%
Php $25 - $229 23%
Aetna $28 - $1,360 26%
Php Management Systems $30 - $1,181 28%
UnitedHealthcare $36 - $1,506 34%
Encore Ppo $38 - $1,491 36%
Sagamore Sebt $39 - $1,558 37%
Sagamore Health Newtork Inc $41 - $1,634 38%
Consumer Life $48 - $1,890 45%
Ahg Dana Employees $50 - $1,982 47%
Align Networks $54 - $2,134 51%
Prime Health Services $58 - $2,287 54%
Private Healthcare Systems Inc $58 - $2,287 54%
Multiplan $62 - $2,439 58%
Encore Health Network $63 - $2,744 59%
Advantage 360 $64 - $2,531 60%
Community Health Alliance $65 - $2,592 61%
First Health $66 - $2,622 62%
Allied Benefit Systems $69 - $2,744 65%
Cardinal Health Alliance $69 - $2,744 65%
Ppom $69 - $2,744 65%
Veterans Eval Services $77 - $98 72%
Tricare $105 98%
Blue Cross Blue Shield $109 - $455 102%
Medicare (plans) $109 102%
Node Iu Health Mcr Adv $109 102%
Node Mhs Mcr Adv $109 102%
Department Of Veterans Affairs $111 104%
Humana $111 - $216 104%
Node Caresource Mcr Adv $111 104%
Node Devoted Health Mcr Adv $111 104%
Node Non Par Hospice Agree $111 104%
Node Va $111 104%
Northeast Hospice $111 104%
County Jail Health Care $115 108%
In Dept Of Correction $115 108%
Node Pphp Mcr Adv $116 109%
Us Department Of Labor $138 129%
Lutheran Advanced Network $166 155%
Lutheran Three Rivers Preferred Plus 150 $166 155%
Lutheran Three Rivers Preferred Plus 175 $194 182%
Encore Work Comp In $199 186%
Caresource $216 202%
Medicaid / KanCare $216 202%
Mhs $216 202%
Mhs In Hip $216 202%
Lutheran Northwest Health Preferred $221 207%
Managed Health Services Exchange $221 207%
Workers Compensation $221 207%
Encore Kba Epo $265 248%
Encore Kba Ppo $332 311%
Lutheran Trma $470 - $495 440%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals