CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Avoyelles Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $593
  • Cash Discount Price: $198
  • vs. Medicare Baseline: 5.55x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Avoyelles Hospital is $593. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.55x the Medicare baseline. Located in 4231 Highway 1192, Marksville, LA.
Cash / Self-Pay
$198

Average discount available for prompt cash payment at this facility.

Insurance Median
$593

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: $198 (185%)
Insurance Median: $593 (555%)
Cash: $198 (185% of Medicare)
Ins. Median: $593 (555% 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 555% of the Medicare baseline (a markup of 455%). 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
Aetna $91 - $370 85%
Amer Contl Ins $91 - $370 85%
Coventry $91 - $370 85%
First Choice Health $91 - $370 85%
Meritan Health $91 - $658 85%
Cigna $137 - $371 128%
Correct Cr Int Hlt $137 128%
Mcd Amerihealth Caritas $137 128%
Mcd Healthy Blue $137 128%
Mcd La Hc Conn $137 128%
Medicaid / KanCare $137 128%
UnitedHealthcare $137 128%
Mcd Ms $151 141%
Blue Cross Blue Shield $176 165%
Ofc Of Grp Bene $176 165%
Student Assurances $198 - $658 185%
Humana $237 - $373 222%
Ppo Plus Llc $395 370%
Zelis Healthcare Bpa $395 370%
Gilsbar $415 389%
Amerind $593 555%
Applied Underwriters $593 555%
Sedgwick $593 555%
Us Dept Of Labor $593 555%
Wc Clms Admin Svcs $593 555%
Wc Clms Mgmnt Walmart $593 555%
Wc Esis $593 555%
Wc Fara $593 555%
Wc Gallagher Bassett $593 555%
Wc Guide One $593 555%
Wc Hartford Med $593 555%
Wc Luba $593 555%
Wc Lwcc $593 555%
Wc Paragon Casino Resort $593 555%
Wc Risk Mgmnt $593 555%
Wc Stone Trust $593 555%
Wc Summit Consulting Hold $593 555%
Wc Travelers Ins $593 555%
Wc Trs Workers Comp Claim $593 555%
Wc Us Dol $593 555%
Wc Zurich $593 555%
Aarp $658 616%
Admin Concepts $658 616%
All Saints Hospice $658 616%
All State $658 616%
Allegiance Health Hospice $658 616%
Allied Natl $658 616%
Amfirst $658 616%
Avoy Parish School Board $658 616%
Avoyelles Parish Sheriff $658 616%
Bollinger $658 616%
Ccmsi $658 616%
Central States $658 616%
Christus Health Plan $658 616%
Compassionate Care Hospic $658 616%
Core Source $658 616%
Coushatta Hlth Dept $658 616%
Ebms $658 616%
Federated Ins $658 616%
Feedom Life $658 616%
Fidelity Standard Life Co $658 616%
Fox Everette $658 616%
Guarantee Trust $658 616%
Heart Of Hospice $658 616%
Hos Christus Hospice $658 616%
Hos Guardian Hospice Care $658 616%
Hos Harbor Hospice Alex $658 616%
Hos La Hospice Palliative $658 616%
Hos Passages Hospice N. $658 616%
Hos St Joseph Hospice $658 616%
Hospice Miscellaneous $658 616%
Ins Mgmnt Admin $658 616%
Ins Tpa $658 616%
Liberty Health Share $658 616%
Lumico $658 616%
Manhattan Life Ins $658 616%
Medi Share $658 616%
Misc Comm $658 616%
Nalc $658 616%
New Era Life $658 616%
North American $658 616%
Phcs $658 616%
Physicians Mutual $658 616%
Pipeline Ind Bene $658 616%
Progressive Auto $658 616%
Reliance Standard Life $658 616%
Rural Carriers $658 616%
Shelter Ins Co $658 616%
Sierre Health And Life $658 616%
State Farm $658 616%
State Mutual $658 616%
Sterling Investors $658 616%
The Health Plan $658 616%
Tribal Hlth Partners $658 616%
Tricare $658 616%
Trustmark Health Benefits $658 616%
Tunica Biloxi $658 616%
Uct $658 616%
Unified Life $658 616%
Usaa Life Ins $658 616%
Web-Tpa $658 616%
Woodmen Of The World $658 616%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4231 Highway 1192, Marksville, LA 71351
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals