CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Charles Parish Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $242
  • Cash Discount Price: $144
  • vs. Medicare Baseline: 2.27x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St Charles Parish Hospital is $242. 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 2.27x the Medicare baseline. Located in 1057 Paul Maillard Road, Luling, LA.
Cash / Self-Pay
$144

Average discount available for prompt cash payment at this facility.

Insurance Median
$242

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: $242 (227%)
Cash: $144 (135% of Medicare)
Ins. Median: $242 (227% 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 227% of the Medicare baseline (a markup of 127%). 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
Tricare $38 - $93 36%
Medicaid / KanCare $81 76%
Aetna $98 - $372 92%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $98 92%
Blue Cross Blue Shield $98 - $184 92%
Healthy Blue Dual Advantage (Hmo-D-Snp) $98 92%
Humana $98 - $242 92%
Medicare (plans) $98 92%
Ochsner Health Plan $98 92%
UnitedHealthcare $98 - $245 92%
Amerihealth Caritas Louisiana (Healthy Louisiana) $242 227%
Healthy Blue (Healthy Louisiana) $242 227%
Louisiana Healthcare Connections (Healthy Louisiana) $242 227%
Cigna $311 291%
Zelis $319 299%
Galaxy Health Network Ppo $399 374%
Galaxy Health Network Wc $399 374%
Louisiana Workers' Compensation Corporation (Lwcc) $399 374%
Healthcomp & Personify Health (Formerly Gilsbar) $410 384%
Claritev D/B/A Multiplan/Phcs/American Life Care $426 399%
First Health Network $452 423%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1057 Paul Maillard Road, Luling, LA 70070
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals