CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Ochsner Medical Center - Baton Rouge

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $98
Cash Discount Price: $88
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Ochsner Medical Center - Baton Rouge is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 17000 Medical Center Dr, Baton Rouge, LA.

Cash / Self-Pay

$88

Average discount available for prompt cash payment at this facility.

Insurance Median

$98

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: $88 (82%)

Insurance Median: $98 (92%)

Cash: $88 (82% of Medicare)

Ins. Median: $98 (92% 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
Zelis	$25	23%
Humana	$48 - $98	45%
UnitedHealthcare	$48 - $118	45%
Aetna	$49 - $144	46%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$49	46%
Healthy Blue (Healthy Louisiana)	$49	46%
Louisiana Healthcare Connections (Healthy Louisiana)	$49	46%
Medicaid / KanCare	$81	76%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$98	92%
Blue Cross Blue Shield	$98 - $178	92%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$98	92%
Medicare (plans)	$98	92%
Ochsner Health Plan	$98	92%
Tricare	$98	92%
Claritev D/B/A Multiplan/Phcs/American Life Care	$146	137%
Healthcomp & Personify Health (Formerly Gilsbar)	$146	137%
Louisiana Workers' Compensation Corporation (Lwcc)	$183	171%
Mississippi Physicians Care Network	$183	171%
First Health Network	$195	183%
Cigna	$202	189%
Prime Health Services Ppo	$207	194%
Usa Managed Care Network	$207	194%

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 $88.
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 Medical Center - Baton Rouge 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.