CMS Price Transparency Data
Ultrasound, abdomen (limited)
Facility: Chelsea Hospital
Billing Code: 76705 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76705
- Insurance Median: $253
- Cash Discount Price: $623
- vs. Medicare Baseline: 2.37x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Chelsea Hospital is $253. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $623. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.37x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$623
Average discount available for prompt cash payment at this facility.
Insurance Median
$253
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: $623 (583%)
Insurance Median: $253 (237%)
Cash: $623 (583% of Medicare)
Ins. Median: $253 (237% 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 237% of the Medicare baseline (a markup of 137%). 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 - $102 | 54% |
| Medicaid / KanCare | $58 - $60 | 54% |
| Aetna | $67 - $447 | 63% |
| Geha | $67 - $644 | 63% |
| Meritain | $67 | 63% |
| 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 - $637 | 88% |
| Kaiser Domestic | $94 | 88% |
| Blue Care Network Advantage | $102 | 95% |
| Medicare (plans) | $102 - $105 | 95% |
| Align Senior Care | $105 | 98% |
| Angela Hospice | $105 | 98% |
| Arbor Hospice | $105 | 98% |
| Heartland Hospice | $105 | 98% |
| UnitedHealthcare | $108 - $644 | 101% |
| Cca - Zing Health | $111 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $118 | 110% |
| Molina Marketplace | $136 | 127% |
| Health Cost Solutions | $162 | 152% |
| Vitalcore | $162 | 152% |
| Wellpath | $162 | 152% |
| Priority Health | $165 - $183 | 154% |
| Asr Health Benefits | $171 | 160% |
| Caresource | $171 | 160% |
| Hap | $171 - $744 | 160% |
| Varipro | $171 | 160% |
| U Of M Health Plan | $190 | 178% |
| Employee Benefit Logistic | $235 | 220% |
| Wc Accident Fund | $253 | 237% |
| Wc Advantage | $253 | 237% |
| Wc Aig | $253 | 237% |
| Wc Allied | $253 | 237% |
| Wc Amerisure | $253 | 237% |
| Wc Amtrust | $253 | 237% |
| Wc Asu Risk Mgt | $253 | 237% |
| Wc Berkley Admin | $253 | 237% |
| Wc Broadspire | $253 | 237% |
| Wc Bunch & Associates | $253 | 237% |
| Wc Ccmsi | $253 | 237% |
| Wc Emc Insurance Company | $253 | 237% |
| Wc Esis | $253 | 237% |
| Wc Fcci | $253 | 237% |
| Wc Federated | $253 | 237% |
| Wc Gallagher Bassett | $253 | 237% |
| Wc Genex Care For Ohio | $253 | 237% |
| Wc Guard Insurance Company | $253 | 237% |
| Wc Hartford | $253 | 237% |
| Wc Liberty Mutual | $253 | 237% |
| Wc Meijers | $253 | 237% |
| Wc Michigan | $253 | 237% |
| Wc Mitchell Frankenmuth | $253 | 237% |
| Wc Pma | $253 | 237% |
| Wc Sedgwick | $253 | 237% |
| Wc Sentry | $253 | 237% |
| Wc Travelers | $253 | 237% |
| Wc Tristar | $253 | 237% |
| Wc Walmart | $253 | 237% |
| Wc Zurich | $253 | 237% |
| Access Health | $637 | 596% |
| Acclaim | $637 | 596% |
| Administrative Concepts | $637 | 596% |
| Allegeant | $637 | 596% |
| Ameriben | $637 | 596% |
| American Family | $637 | 596% |
| American Healthcare Alliance | $637 | 596% |
| American National | $637 | 596% |
| American Republic | $637 | 596% |
| Amerihealth | $637 | 596% |
| Aultcare | $637 | 596% |
| Automated Benefit Services | $637 | 596% |
| Auxiant | $637 | 596% |
| Benefit Administrative Systems,Llc | $637 | 596% |
| Boon Chapman | $637 | 596% |
| Cam Administrative Services | $637 | 596% |
| Christian Brother Services | $637 | 596% |
| Christian Brothers Holy Cross | $637 | 596% |
| Comprehensive Benefits | $637 | 596% |
| Continental Life Insurance | $637 | 596% |
| Custom Benefit Administrators | $637 | 596% |
| Employee Benefit Concepts | $637 | 596% |
| Employee Benefit Management | $637 | 596% |
| Enterprise Group Planning | $637 | 596% |
| Freedom Life Insurance Company | $637 | 596% |
| Group Administrators | $637 | 596% |
| Group Marketing Services | $637 | 596% |
| Guardian | $637 | 596% |
| Health America | $637 | 596% |
| Healthcare Management Admin | $637 | 596% |
| Healthez | $637 | 596% |
| Humana | $637 | 596% |
| Insight | $637 | 596% |
| Intercare | $637 | 596% |
| Jfp Benefit Management | $637 | 596% |
| Jp Farley Corporation | $637 | 596% |
| Key Benefit Administrator | $637 | 596% |
| Liberty Union Life Assurance Co | $637 | 596% |
| Lucent Health | $637 | 596% |
| Luminare Health | $637 | 596% |
| Luminare Health (Detroit) | $637 | 596% |
| Magnacare | $637 | 596% |
| Medben | $637 | 596% |
| Medcost | $637 | 596% |
| Medical Mutual | $637 | 596% |
| Mutual Health Services | $637 | 596% |
| Mutual Of Omaha | $637 | 596% |
| Ncas | $637 | 596% |
| Nippon Life Ins | $637 | 596% |
| Nova | $637 | 596% |
| Painters Union Insurance Fund | $637 | 596% |
| Physicians Mutual | $637 | 596% |
| Plumbers Local 98 Insurance Fund | $637 | 596% |
| Prairie States | $637 | 596% |
| Preferred One | $637 | 596% |
| Primary Physician Care | $637 | 596% |
| Professional Benefit Administrators | $637 | 596% |
| Siho Insurance Services | $637 | 596% |
| Sisco Benefits | $637 | 596% |
| The Loomis Company | $637 | 596% |
| Unicare | $637 | 596% |
| Us Health And Life | $637 | 596% |
| Valenz | $637 | 596% |
| Western & Southern Financial Group | $637 | 596% |
| Wps | $637 | 596% |
| Coventry | $655 | 613% |
| First Health | $655 | 613% |
| Hospice Of Michigan | $671 | 628% |
| Cigna | $676 | 633% |
| 1199 National Benefit Fund | $718 | 672% |
| Allied National Global Care | $718 | 672% |
| Asrm - Reliance Standard Life Insurance | $718 | 672% |
| Christian Care Ministry | $718 | 672% |
| Dean Health | $718 | 672% |
| Fallon Health | $718 | 672% |
| Family Life Insurance Company | $718 | 672% |
| Ghc Scw | $718 | 672% |
| Group Pension Administrators | $718 | 672% |
| International Benefit Administrators | $718 | 672% |
| Lifetime Benefit Solutions | $718 | 672% |
| Manhattan Life | $718 | 672% |
| Medi Share | $718 | 672% |
| Multiplan | $718 | 672% |
| Mvp | $718 | 672% |
| Pai | $718 | 672% |
| Pan-American Life | $718 | 672% |
| Paramount Hmo | $718 | 672% |
| Phcs | $718 | 672% |
| Trinity Health Share | $718 | 672% |
| Health Partners | $744 | 697% |
| Tufts Health Plan | $744 | 697% |
| Prime Health Services | $766 | 717% |
| Three Rivers Provider Network | $862 | 807% |
| Cmh Detroit Wayne Integrated Health Network | $958 | 897% |
| Cmh Jackson County/Lifeways | $958 | 897% |
| Cmh Lenawee County | $958 | 897% |
| Cmh Livingston County | $958 | 897% |
| Cmh Misc | $958 | 897% |
| Cmh Monroe County | $958 | 897% |
| Cmh Washtenaw County | $958 | 897% |
| Magellan Behavioral Health | $958 | 897% |