CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Promedica Monroe Regional Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $176
  • Cash Discount Price: $430
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Promedica Monroe Regional Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $430. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.65x the Medicare baseline. Located in 718 N Macomb St, Monroe, MI.
Cash / Self-Pay
$430

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $430 (403%)
Insurance Median: $176 (165%)
Cash: $430 (403% of Medicare)
Ins. Median: $176 (165% 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
Meridian $57 53%
Priority Health $57 - $364 53%
Blue Cross Blue Shield $60 - $372 56%
Aetna $62 - $466 58%
Molina Healthcare Of Michigan $62 58%
UnitedHealthcare $63 - $538 59%
Amerihealth $68 64%
Paramount Healthcare Inc $77 - $503 72%
Health Alliance Plan $79 - $543 74%
Humana $82 - $107 77%
Veterans Affairs $105 98%
Frontpath $384 360%
Encore Health Network $463 433%
Health Ohio Network, Llc $463 433%
Cofinity $472 442%
Multiplan $596 558%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 718 N Macomb St, Monroe, MI 48162
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals