CMS Price Transparency Data
Ultrasound, abdomen (limited)
Facility: St Joe Mercy Hospital System Livonia
Billing Code: 76705 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76705
- Insurance Median: $270
- Cash Discount Price: $623
- vs. Medicare Baseline: 2.53x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at St Joe Mercy Hospital System Livonia is $270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $623. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.53x the Medicare baseline. Located in 36475 Five Mile Road, Livonia, MI.
Cash / Self-Pay
$623
Average discount available for prompt cash payment at this facility.
Insurance Median
$270
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: $623 (583%)
Insurance Median: $270 (253%)
Cash: $623 (583% of Medicare)
Ins. Median: $270 (253% 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 253% of the Medicare baseline (a markup of 153%). 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 |
|---|---|---|
| Medicaid / KanCare | $57 - $58 | 53% |
| Blue Cross Blue Shield | $58 - $102 | 54% |
| Aetna | $67 - $421 | 63% |
| Geha | $67 - $614 | 63% |
| Luminare Health (Detroit) | $67 | 63% |
| Meritain | $67 | 63% |
| Bcn Domestic | $94 | 88% |
| Blue Benefit Administrators Of Massachusetts | $94 | 88% |
| Blue Care Network | $94 | 88% |
| Blue Distinction Transplant | $94 | 88% |
| Blue Shield - Ca | $94 | 88% |
| Blue Shield - Id (Regence) | $94 | 88% |
| Blue Shield - Ny Highmark Northeastern | $94 | 88% |
| Blue Shield - Ny Highmark Western | $94 | 88% |
| Blue Shield - Pa (Highmark) | $94 | 88% |
| Blue Shield - Wa (Regence) | $94 | 88% |
| Health Choices | $94 - $608 | 88% |
| Kaiser Domestic | $94 | 88% |
| Blue Care Network Advantage | $102 | 95% |
| Hospice Of Michigan | $102 | 95% |
| Medicare (plans) | $102 - $109 | 95% |
| Align Senior Care | $104 | 97% |
| Angela Hospice | $104 | 97% |
| UnitedHealthcare | $107 - $614 | 100% |
| Cca - Zing Health | $110 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $117 | 110% |
| Molina Marketplace | $135 | 126% |
| Priority Health | $157 - $175 | 147% |
| Health Cost Solutions | $162 | 152% |
| Vitalcore | $162 | 152% |
| Wellpath | $162 | 152% |
| Asr Health Benefits | $187 | 175% |
| Caresource | $187 | 175% |
| Hap | $187 - $588 | 175% |
| Varipro | $187 | 175% |
| U Of M Health Plan | $190 | 178% |
| Employee Benefit Logistic | $234 | 219% |
| Wc Accident Fund | $270 | 253% |
| Wc Advantage | $270 | 253% |
| Wc Aig | $270 | 253% |
| Wc Allied | $270 | 253% |
| Wc Amerisure | $270 | 253% |
| Wc Amtrust | $270 | 253% |
| Wc Asu Risk Mgt | $270 | 253% |
| Wc Berkley Admin | $270 | 253% |
| Wc Broadspire | $270 | 253% |
| Wc Bunch & Associates | $270 | 253% |
| Wc Ccmsi | $270 | 253% |
| Wc Emc Insurance Company | $270 | 253% |
| Wc Esis | $270 | 253% |
| Wc Fcci | $270 | 253% |
| Wc Federated | $270 | 253% |
| Wc Gallagher Bassett | $270 | 253% |
| Wc Genex Care For Ohio | $270 | 253% |
| Wc Guard Insurance Company | $270 | 253% |
| Wc Hartford | $270 | 253% |
| Wc Liberty Mutual | $270 | 253% |
| Wc Meijers | $270 | 253% |
| Wc Michigan | $270 | 253% |
| Wc Mitchell Frankenmuth | $270 | 253% |
| Wc Pma | $270 | 253% |
| Wc Sedgwick | $270 | 253% |
| Wc Sentry | $270 | 253% |
| Wc Travelers | $270 | 253% |
| Wc Tristar | $270 | 253% |
| Wc Walmart | $270 | 253% |
| Wc Zurich | $270 | 253% |
| Acs Benefit Services | $409 | 383% |
| Allied Benefit Systems | $409 | 383% |
| Claimchoice Adminstrators | $409 | 383% |
| Consociate | $409 | 383% |
| Cypress Benefit Administrators | $409 | 383% |
| Forest County Potawatomi | $409 | 383% |
| Health Smart | $409 | 383% |
| Healthgram | $409 | 383% |
| Healthscope | $409 | 383% |
| Secureone Preferred United Plans | $409 | 383% |
| Sisco Benefits | $409 | 383% |
| The Health Plan | $409 | 383% |
| Trustmark Small Business Benefits | $409 | 383% |
| Unified Group Services | $409 | 383% |
| Webtpa | $409 | 383% |
| Health Partners | $588 | 551% |
| Tufts Health Plan | $588 | 551% |
| Cigna | $600 - $766 | 562% |
| Access Health | $608 | 569% |
| Acclaim | $608 | 569% |
| Administrative Concepts | $608 | 569% |
| Allegeant | $608 | 569% |
| Ameriben | $608 | 569% |
| American Family | $608 | 569% |
| American Healthcare Alliance | $608 | 569% |
| American National | $608 | 569% |
| American Republic | $608 | 569% |
| Amerihealth | $608 | 569% |
| Aultcare | $608 | 569% |
| Automated Benefit Services | $608 | 569% |
| Auxiant | $608 | 569% |
| Benefit Administrative Systems,Llc | $608 | 569% |
| Boon Chapman | $608 | 569% |
| Cam Administrative Services | $608 | 569% |
| Christian Brother Services | $608 | 569% |
| Christian Brothers Holy Cross | $608 | 569% |
| Comprehensive Benefits | $608 | 569% |
| Continental Life Insurance | $608 | 569% |
| Custom Benefit Administrators | $608 | 569% |
| Employee Benefit Concepts | $608 | 569% |
| Employee Benefit Management | $608 | 569% |
| Enterprise Group Planning | $608 | 569% |
| Freedom Life Insurance Company | $608 | 569% |
| Group Administrators | $608 | 569% |
| Group Marketing Services | $608 | 569% |
| Guardian | $608 | 569% |
| Health America | $608 | 569% |
| Healthcare Management Admin | $608 | 569% |
| Healthez | $608 | 569% |
| Humana | $608 | 569% |
| Insight | $608 | 569% |
| Intercare | $608 | 569% |
| Jfp Benefit Management | $608 | 569% |
| Jp Farley Corporation | $608 | 569% |
| Key Benefit Administrator | $608 | 569% |
| Liberty Union Life Assurance Co | $608 | 569% |
| Lucent Health | $608 | 569% |
| Luminare Health | $608 | 569% |
| Magnacare | $608 | 569% |
| Medben | $608 | 569% |
| Medcost | $608 | 569% |
| Medical Mutual | $608 | 569% |
| Mutual Health Services | $608 | 569% |
| Mutual Of Omaha | $608 | 569% |
| Ncas | $608 | 569% |
| Nippon Life Ins | $608 | 569% |
| Nova | $608 | 569% |
| Painters Union Insurance Fund | $608 | 569% |
| Physicians Mutual | $608 | 569% |
| Plumbers Local 98 Insurance Fund | $608 | 569% |
| Prairie States | $608 | 569% |
| Preferred One | $608 | 569% |
| Primary Physician Care | $608 | 569% |
| Professional Benefit Administrators | $608 | 569% |
| Siho Insurance Services | $608 | 569% |
| The Loomis Company | $608 | 569% |
| Unicare | $608 | 569% |
| Us Health And Life | $608 | 569% |
| Valenz | $608 | 569% |
| Western & Southern Financial Group | $608 | 569% |
| Wps | $608 | 569% |
| 1199 National Benefit Fund | $613 | 574% |
| Allied National Global Care | $613 | 574% |
| Asrm - Reliance Standard Life Insurance | $613 | 574% |
| Christian Care Ministry | $613 | 574% |
| Dean Health | $613 | 574% |
| Fallon Health | $613 | 574% |
| Family Life Insurance Company | $613 | 574% |
| Ghc Scw | $613 | 574% |
| Group Pension Administrators | $613 | 574% |
| International Benefit Administrators | $613 | 574% |
| Lifetime Benefit Solutions | $613 | 574% |
| Manhattan Life | $613 | 574% |
| Medi Share | $613 | 574% |
| Multiplan | $613 | 574% |
| Mvp | $613 | 574% |
| Pai | $613 | 574% |
| Pan-American Life | $613 | 574% |
| Paramount Hmo | $613 | 574% |
| Phcs | $613 | 574% |
| Trinity Health Share | $613 | 574% |
| First Health | $626 | 586% |
| Coventry | $766 | 717% |
| Prime Health Services | $766 | 717% |
| Three Rivers Provider Network | $862 | 807% |
| Carelon Behavioral Health | $958 | 897% |
| Cmh Detroit Wayne Integrated Health Network | $958 | 897% |
| Cmh Lenawee County | $958 | 897% |
| Cmh Livingston County | $958 | 897% |
| Cmh Misc | $958 | 897% |
| Cmh Monroe County | $958 | 897% |
| Cmh Washtenaw County | $958 | 897% |
| Magellan Behavioral Health | $958 | 897% |