CMS Price Transparency Data
Ultrasound, abdomen (complete)
Facility: Mercy Health Saint Mary's
Billing Code: 76700 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76700
- Insurance Median: $562
- Cash Discount Price: $501
- vs. Medicare Baseline: 5.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercy Health Saint Mary's is $562. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $501. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.26x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$501
Average discount available for prompt cash payment at this facility.
Insurance Median
$562
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: $501 (469%)
Insurance Median: $562 (526%)
Cash: $501 (469% of Medicare)
Ins. Median: $562 (526% 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 526% of the Medicare baseline (a markup of 426%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $58 - $124 | 54% |
| Medicaid / KanCare | $58 - $60 | 54% |
| Access Health | $73 | 68% |
| Aetna | $88 - $102 | 82% |
| Geha | $88 - $585 | 82% |
| Medical Mutual | $88 | 82% |
| Meritain | $88 | 82% |
| Preferred One | $88 | 82% |
| Blue Care Network Advantage | $102 | 95% |
| Medicare (plans) | $102 | 95% |
| Align Senior Care | $104 | 97% |
| Correctional Recovery | $104 | 97% |
| Hospice Faith | $104 | 97% |
| Hospice Of Holland | $104 | 97% |
| UnitedHealthcare | $107 - $770 | 100% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $117 | 110% |
| Bcn Domestic | $124 | 116% |
| Blue Benefit Administrators Of Massachusetts | $124 | 116% |
| Blue Care Network | $124 | 116% |
| Blue Distinction Transplant | $124 | 116% |
| Blue Shield - Ca | $124 | 116% |
| Blue Shield - Id (Regence) | $124 | 116% |
| Blue Shield - Ny Highmark Northeastern | $124 | 116% |
| Blue Shield - Ny Highmark Western | $124 | 116% |
| Blue Shield - Pa (Highmark) | $124 | 116% |
| Blue Shield - Wa (Regence) | $124 | 116% |
| Health Choices | $124 - $586 | 116% |
| Kaiser Domestic | $124 | 116% |
| Oscar | $133 | 125% |
| Molina Marketplace | $135 | 126% |
| Vitalcore | $161 | 151% |
| Wellpath | $161 | 151% |
| U Of M Health Plan | $253 - $586 | 237% |
| Wc Accident Fund | $420 | 393% |
| Wc Advantage | $420 | 393% |
| Wc Aig | $420 | 393% |
| Wc Allied | $420 | 393% |
| Wc Amerisure | $420 | 393% |
| Wc Amtrust | $420 | 393% |
| Wc Asu Risk Mgt | $420 | 393% |
| Wc Berkley Admin | $420 | 393% |
| Wc Broadspire | $420 | 393% |
| Wc Bunch & Associates | $420 | 393% |
| Wc Ccmsi | $420 | 393% |
| Wc Emc Insurance Company | $420 | 393% |
| Wc Esis | $420 | 393% |
| Wc Fcci | $420 | 393% |
| Wc Federated | $420 | 393% |
| Wc Gallagher Bassett | $420 | 393% |
| Wc Genex Care For Ohio | $420 | 393% |
| Wc Guard Insurance Company | $420 | 393% |
| Wc Hartford | $420 | 393% |
| Wc Liberty Mutual | $420 | 393% |
| Wc Meijers | $420 | 393% |
| Wc Michigan | $420 | 393% |
| Wc Mitchell Frankenmuth | $420 | 393% |
| Wc Pma | $420 | 393% |
| Wc Sedgwick | $420 | 393% |
| Wc Sentry | $420 | 393% |
| Wc Travelers | $420 | 393% |
| Wc Tristar | $420 | 393% |
| Wc Walmart | $420 | 393% |
| Wc Zurich | $420 | 393% |
| Nomi Health | $431 | 404% |
| Acs Benefit Services | $443 | 415% |
| Allied Benefit Systems | $443 | 415% |
| Claimchoice Adminstrators | $443 | 415% |
| Consociate | $443 | 415% |
| Cypress Benefit Administrators | $443 | 415% |
| Forest County Potawatomi | $443 | 415% |
| Health Smart | $443 | 415% |
| Healthgram | $443 | 415% |
| Healthscope | $443 | 415% |
| Secureone Preferred United Plans | $443 | 415% |
| Sisco Benefits | $443 | 415% |
| The Health Plan | $443 | 415% |
| Trustmark Small Business Benefits | $443 | 415% |
| Unified Group Services | $443 | 415% |
| Webtpa | $443 | 415% |
| Priority Health | $452 - $461 | 423% |
| Asr Health Benefits | $490 | 459% |
| Hap | $490 - $597 | 459% |
| Varipro | $500 | 468% |
| Caresource | $503 | 471% |
| 1199 National Benefit Fund | $562 | 526% |
| Allied National Global Care | $562 | 526% |
| Asrm - Reliance Standard Life Insurance | $562 | 526% |
| Christian Care Ministry | $562 | 526% |
| Cigna | $562 | 526% |
| Dean Health | $562 | 526% |
| Fallon Health | $562 | 526% |
| Family Life Insurance Company | $562 | 526% |
| Ghc Scw | $562 | 526% |
| Group Pension Administrators | $562 | 526% |
| International Benefit Administrators | $562 | 526% |
| Lifetime Benefit Solutions | $562 | 526% |
| Manhattan Life | $562 | 526% |
| Medi Share | $562 | 526% |
| Multiplan | $562 | 526% |
| Mvp | $562 | 526% |
| Pai | $562 | 526% |
| Pan-American Life | $562 | 526% |
| Paramount Hmo | $562 | 526% |
| Phcs | $562 | 526% |
| Trinity Health Share | $562 | 526% |
| Acclaim | $586 | 549% |
| Administrative Concepts | $586 | 549% |
| Allegeant | $586 | 549% |
| Ameriben | $586 | 549% |
| American Family | $586 | 549% |
| American Healthcare Alliance | $586 | 549% |
| American Republic | $586 | 549% |
| Amerihealth | $586 | 549% |
| Aultcare | $586 | 549% |
| Automated Benefit Services | $586 | 549% |
| Auxiant | $586 | 549% |
| Benefit Administrative Systems,Llc | $586 | 549% |
| Boon Chapman | $586 | 549% |
| Cam Administrative Services | $586 | 549% |
| Christian Brother Services | $586 | 549% |
| Christian Brothers Holy Cross | $586 | 549% |
| Comprehensive Benefits | $586 | 549% |
| Continental Life Insurance | $586 | 549% |
| Custom Benefit Administrators | $586 | 549% |
| Employee Benefit Concepts | $586 | 549% |
| Employee Benefit Management | $586 | 549% |
| Enterprise Group Planning | $586 | 549% |
| Freedom Life Insurance Company | $586 | 549% |
| Group Administrators | $586 | 549% |
| Group Marketing Services | $586 | 549% |
| Guardian | $586 | 549% |
| Health America | $586 | 549% |
| Healthez | $586 | 549% |
| Humana | $586 - $770 | 549% |
| Insight | $586 | 549% |
| Intercare | $586 | 549% |
| Jfp Benefit Management | $586 | 549% |
| Jp Farley Corporation | $586 | 549% |
| Key Benefit Administrator | $586 | 549% |
| Liberty Union Life Assurance Co | $586 | 549% |
| Lucent Health | $586 | 549% |
| Luminare Health | $586 | 549% |
| Luminare Health (Detroit) | $586 | 549% |
| Medben | $586 | 549% |
| Medcost | $586 | 549% |
| Mutual Health Services | $586 | 549% |
| Mutual Of Omaha | $586 | 549% |
| Ncas | $586 | 549% |
| Nippon Life Ins | $586 | 549% |
| Nova | $586 | 549% |
| Painters Union Insurance Fund | $586 | 549% |
| Physicians Mutual | $586 | 549% |
| Plumbers Local 98 Insurance Fund | $586 | 549% |
| Prairie States | $586 | 549% |
| Primary Physician Care | $586 | 549% |
| Professional Benefit Administrators | $586 | 549% |
| The Loomis Company | $586 | 549% |
| Unicare | $586 | 549% |
| Us Health And Life | $586 | 549% |
| Valenz | $586 | 549% |
| Western & Southern Financial Group | $586 | 549% |
| Wps | $586 | 549% |
| Coventry | $610 | 571% |
| First Health | $610 | 571% |
| Cmh Allegan County | $770 | 721% |
| Cmh Ausable Valley | $770 | 721% |
| Cmh Barry County | $770 | 721% |
| Cmh Berrien County | $770 | 721% |
| Cmh Cass County | $770 | 721% |
| Cmh Clinton-Eaton-Ingham County | $770 | 721% |
| Cmh Kalamazoo | $770 | 721% |
| Cmh Kent County | $770 | 721% |
| Cmh Lenawee County | $770 | 721% |
| Cmh Misc | $770 | 721% |
| Cmh Monroe County | $770 | 721% |
| Cmh Montcalm County | $770 | 721% |
| Cmh Muskegon County | $770 | 721% |
| Cmh Newaygo County | $770 | 721% |
| Cmh North Country | $770 | 721% |
| Cmh Northern Lakes County | $770 | 721% |
| Cmh Ottawa County | $770 | 721% |
| Cmh Van Buren County | $770 | 721% |
| Cmh West Mi County | $770 | 721% |
| Magellan Behavioral Health | $770 | 721% |