CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Henry Ford Health St John Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $104
  • Cash Discount Price: $387
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Henry Ford Health St John Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 22101 Moross Rd, Detroit, MI.
Cash / Self-Pay
$387

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $387 (362%)
Insurance Median: $104 (97%)
Cash: $387 (362% of Medicare)
Ins. Median: $104 (97% 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
Ahlic $73 68%
Hap Hmo $73 68%
Hap Preferred $73 68%
Priority Hmo $74 69%
Meridian Health Plan $81 76%
Blue Cross Blue Shield $94 88%
Medicare (plans) $99 - $109 93%
Amerihealth Vip Care $103 96%
Aetna $104 97%
Harbor Advantage Hmo $104 97%
Tricare $104 97%
Veterans Choice $104 97%
Humana $105 98%
Meridian Wellcare $109 102%
Molina Advantage $109 102%
Molina Health Link $109 102%
Ppom $122 114%
Ambetter / Centene $130 122%
Molina Market Place $130 122%
Smarthealth $146 137%
Aaa-Auto Insurance $198 185%
Phcs Pos $233 218%
Phcs Ppo $233 218%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22101 Moross Rd, Detroit, MI 48236
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals