CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Ochsner Lafayette General Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $84
Cash Discount Price: $144
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Ochsner Lafayette General Medical Center is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.79x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$84

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: $144 (135%)

Insurance Median: $84 (79%)

Cash: $144 (135% of Medicare)

Ins. Median: $84 (79% 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.

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
Verity Commercial And First Choice Network	$49 - $370	46%
UnitedHealthcare	$54 - $102	51%
Cigna	$57 - $254	53%
Aetna	$63 - $375	59%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$63 - $84	59%
Healthy Blue (Healthy Louisiana)	$63 - $84	59%
Humana	$63 - $97	59%
Louisiana Healthcare Connections (Healthy Louisiana)	$63 - $84	59%
Blue Cross Blue Shield	$76 - $183	71%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$76 - $97	71%
Medicare (plans)	$76 - $97	71%
Ochsner Health Plan	$76 - $97	71%
Wellcare Of Louisiana	$76 - $102	71%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$79 - $100	74%
Tricare	$79 - $97	74%
Zelis	$84 - $411	79%

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 $144.
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 Ochsner Lafayette General Medical Center 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.