CMS Price Transparency Data
Ultrasound, abdomen (limited)
Facility: Trinity Health Muskegon Hospital
Billing Code: 76705 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76705
- Insurance Median: $294
- Cash Discount Price: $358
- vs. Medicare Baseline: 2.75x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Trinity Health Muskegon Hospital is $294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $358. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.75x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$358
Average discount available for prompt cash payment at this facility.
Insurance Median
$294
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: $358 (335%)
Insurance Median: $294 (275%)
Cash: $358 (335% of Medicare)
Ins. Median: $294 (275% 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 275% of the Medicare baseline (a markup of 175%). 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.
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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 - $109 | 54% |
| Medicaid / KanCare | $58 - $60 | 54% |
| Aetna | $67 - $109 | 63% |
| Geha | $67 - $485 | 63% |
| Meritain | $67 | 63% |
| Access Health | $78 | 73% |
| 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 - $434 | 88% |
| Kaiser Domestic | $94 | 88% |
| Blue Care Network Advantage | $109 | 102% |
| Medicare (plans) | $109 | 102% |
| Align Senior Care | $112 | 105% |
| Correctional Recovery | $112 | 105% |
| Heartland Hospice | $112 | 105% |
| Hospice Harbor Hospice | $112 | 105% |
| UnitedHealthcare | $115 - $485 | 108% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $126 | 118% |
| Oscar | $143 | 134% |
| Molina Marketplace | $145 | 136% |
| Vitalcore | $173 | 162% |
| Wellpath | $173 | 162% |
| U Of M Health Plan | $190 - $434 | 178% |
| Priority Health | $222 - $419 | 208% |
| Acs Benefit Services | $287 | 269% |
| Allied Benefit Systems | $287 | 269% |
| Claimchoice Adminstrators | $287 | 269% |
| Consociate | $287 | 269% |
| Cypress Benefit Administrators | $287 | 269% |
| Forest County Potawatomi | $287 | 269% |
| Health Smart | $287 | 269% |
| Healthgram | $287 | 269% |
| Healthscope | $287 | 269% |
| Preferred One | $287 | 269% |
| Secureone Preferred United Plans | $287 | 269% |
| Sisco Benefits | $287 | 269% |
| The Health Plan | $287 | 269% |
| Trustmark Small Business Benefits | $287 | 269% |
| Unified Group Services | $287 | 269% |
| Webtpa | $287 | 269% |
| Asr Health Benefits | $293 | 274% |
| Hap | $293 - $437 | 274% |
| Wc Accident Fund | $294 | 275% |
| Wc Advantage | $294 | 275% |
| Wc Aig | $294 | 275% |
| Wc Allied | $294 | 275% |
| Wc Amerisure | $294 | 275% |
| Wc Amtrust | $294 | 275% |
| Wc Asu Risk Mgt | $294 | 275% |
| Wc Berkley Admin | $294 | 275% |
| Wc Broadspire | $294 | 275% |
| Wc Bunch & Associates | $294 | 275% |
| Wc Ccmsi | $294 | 275% |
| Wc Emc Insurance Company | $294 | 275% |
| Wc Esis | $294 | 275% |
| Wc Fcci | $294 | 275% |
| Wc Federated | $294 | 275% |
| Wc Gallagher Bassett | $294 | 275% |
| Wc Genex Care For Ohio | $294 | 275% |
| Wc Guard Insurance Company | $294 | 275% |
| Wc Hartford | $294 | 275% |
| Wc Liberty Mutual | $294 | 275% |
| Wc Meijers | $294 | 275% |
| Wc Michigan | $294 | 275% |
| Wc Mitchell Frankenmuth | $294 | 275% |
| Wc Pma | $294 | 275% |
| Wc Sedgwick | $294 | 275% |
| Wc Sentry | $294 | 275% |
| Wc Travelers | $294 | 275% |
| Wc Tristar | $294 | 275% |
| Wc Walmart | $294 | 275% |
| Wc Zurich | $294 | 275% |
| Hospice Of Michigan | $303 | 284% |
| Nomi Health | $309 | 289% |
| Varipro | $319 | 299% |
| Caresource | $347 | 325% |
| Cigna | $347 | 325% |
| 1199 National Benefit Fund | $413 | 387% |
| Allied National Global Care | $413 | 387% |
| Asrm - Reliance Standard Life Insurance | $413 | 387% |
| Christian Care Ministry | $413 | 387% |
| Dean Health | $413 | 387% |
| Fallon Health | $413 | 387% |
| Family Life Insurance Company | $413 | 387% |
| Ghc Scw | $413 | 387% |
| Group Pension Administrators | $413 | 387% |
| International Benefit Administrators | $413 | 387% |
| Lifetime Benefit Solutions | $413 | 387% |
| Manhattan Life | $413 | 387% |
| Medi Share | $413 | 387% |
| Multiplan | $413 | 387% |
| Mvp | $413 | 387% |
| Pai | $413 | 387% |
| Pan-American Life | $413 | 387% |
| Paramount Hmo | $413 | 387% |
| Phcs | $413 | 387% |
| Trinity Health Share | $413 | 387% |
| Acclaim | $434 | 406% |
| Administrative Concepts | $434 | 406% |
| Allegeant | $434 | 406% |
| Ameriben | $434 | 406% |
| American Family | $434 | 406% |
| American Healthcare Alliance | $434 | 406% |
| American Republic | $434 | 406% |
| Amerihealth | $434 | 406% |
| Aultcare | $434 | 406% |
| Automated Benefit Services | $434 | 406% |
| Auxiant | $434 | 406% |
| Benefit Administrative Systems,Llc | $434 | 406% |
| Boon Chapman | $434 | 406% |
| Cam Administrative Services | $434 | 406% |
| Christian Brother Services | $434 | 406% |
| Christian Brothers Holy Cross | $434 | 406% |
| Comprehensive Benefits | $434 | 406% |
| Continental Life Insurance | $434 | 406% |
| Custom Benefit Administrators | $434 | 406% |
| Employee Benefit Concepts | $434 | 406% |
| Employee Benefit Management | $434 | 406% |
| Enterprise Group Planning | $434 | 406% |
| Freedom Life Insurance Company | $434 | 406% |
| Group Administrators | $434 | 406% |
| Group Marketing Services | $434 | 406% |
| Guardian | $434 | 406% |
| Health America | $434 | 406% |
| Healthez | $434 | 406% |
| Humana | $434 | 406% |
| Insight | $434 | 406% |
| Intercare | $434 | 406% |
| Jfp Benefit Management | $434 | 406% |
| Jp Farley Corporation | $434 | 406% |
| Key Benefit Administrator | $434 | 406% |
| Liberty Union Life Assurance Co | $434 | 406% |
| Lucent Health | $434 | 406% |
| Luminare Health | $434 | 406% |
| Luminare Health (Detroit) | $434 | 406% |
| Medben | $434 | 406% |
| Medcost | $434 | 406% |
| Medical Mutual | $434 | 406% |
| Mutual Health Services | $434 | 406% |
| Mutual Of Omaha | $434 | 406% |
| Ncas | $434 | 406% |
| Nippon Life Ins | $434 | 406% |
| Nova | $434 | 406% |
| Painters Union Insurance Fund | $434 | 406% |
| Physicians Mutual | $434 | 406% |
| Plumbers Local 98 Insurance Fund | $434 | 406% |
| Prairie States | $434 | 406% |
| Primary Physician Care | $434 | 406% |
| Professional Benefit Administrators | $434 | 406% |
| The Loomis Company | $434 | 406% |
| Unicare | $434 | 406% |
| Us Health And Life | $434 | 406% |
| Valenz | $434 | 406% |
| Western & Southern Financial Group | $434 | 406% |
| Wps | $434 | 406% |
| First Health | $452 | 423% |
| Barinet | $551 | 516% |
| Cmh Allegan County | $551 | 516% |
| Cmh Barry County | $551 | 516% |
| Cmh Berrien County | $551 | 516% |
| Cmh Cass County | $551 | 516% |
| Cmh Kalamazoo | $551 | 516% |
| Cmh Kent County | $551 | 516% |
| Cmh Misc | $551 | 516% |
| Cmh Muskegon County | $551 | 516% |
| Cmh North Country | $551 | 516% |
| Cmh Northern Lakes County | $551 | 516% |
| Cmh Ottawa County | $551 | 516% |
| Cmh Van Buren County | $551 | 516% |
| Cmh West Mi County | $551 | 516% |