CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Henry Ford Macomb Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $28
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Henry Ford Macomb Hospital is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.26x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$28

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%)
Insurance Median: $28 (26%)
Ins. Median: $28 (26% 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.

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 $18 - $362 17%
Amerihealth Michigan $18 - $102 17%
Mclaren Health Plan Inc. $18 - $28 17%
Meridian $18 - $28 17%
Molina $19 - $141 18%
Priority $19 - $28 18%
Hap $23 - $104 22%
Humana $26 - $106 24%
Pace Se Mi $26 24%
Bcn $28 - $104 26%
Blue Cross Blue Shield $28 - $140 26%
Cca Health Mi $28 26%
Health Alliance Plan Of Michigan $28 26%
Mount Carmel Health Plan $28 - $104 26%
United Behavioral Health, Inc. $28 26%
UnitedHealthcare $28 - $338 26%
Wellcare Ma $28 26%
Mclaren $30 28%
Meridian Health Plan Of Mi $30 - $141 28%
Priority Health $30 - $221 28%
Vitalcore Physicians Group Of Mi $36 - $240 34%
Cigna $39 - $539 37%
Wellcare $57 53%
Pace Of Se Mi $99 93%
Cca Health Michigan $104 97%
Hap Caresource $104 97%
Mclaren Health $104 - $353 97%
Molina Mi Health Link $104 97%
Cofinity Group Health $228 - $497 213%
Multiplan, Inc. $410 - $443 384%
University Of Michigan $497 - $537 465%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals