CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $105
Cash Discount Price: $751
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Munson Healthcare Otsego Memorial Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $751. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.

Cash / Self-Pay

$751

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $751 (703%)

Insurance Median: $105 (98%)

Cash: $751 (703% of Medicare)

Ins. Median: $105 (98% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Mclaren Health Plan	$24 - $741	22%
Meridian	$24 - $54	22%
Molina	$24 - $116	22%
Priority Health	$24 - $288	22%
UnitedHealthcare	$24 - $708	22%
Blue Cross Blue Shield	$25 - $552	23%
Aetna	$37 - $716	35%
Blue Care Network	$37 - $107	35%
Hap (Health Alliance Plan)	$37 - $707	35%
Humana	$37 - $107	35%
Medicare (plans)	$37 - $107	35%
Michigan Amish Medical Board	$37 - $107	35%
Northern Michigan Mennonite Group	$37 - $107	35%
Asr Physicians Care Network	$55 - $707	51%
Cigna	$57 - $288	53%
Nomi Health	$59 - $707	55%
Employee Benefit Logistics	$62 - $182	58%
Hospice Of Michigan	$530	496%
Munson Hospice	$619 - $852	580%
Enterprise Group Planning/Employee Benefit Plan	$707	662%
Cofinity	$751	703%
Provider Network Of America/Hawaii Mainland Administrative Group Health	$751	703%
Three Rivers Provider Network	$751	703%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $751.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Munson Healthcare Otsego Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.