CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Munson Healthcare Manistee Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $288
  • Cash Discount Price: $704
  • vs. Medicare Baseline: 2.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Munson Healthcare Manistee Hospital is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $704. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.70x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.
Cash / Self-Pay
$704

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

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: $704 (659%)
Insurance Median: $288 (270%)
Cash: $704 (659% of Medicare)
Ins. Median: $288 (270% 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 270% of the Medicare baseline (a markup of 170%). 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.

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
Blue Cross Blue Shield $18 - $433 17%
Mclaren Health Plan $18 - $648 17%
Meridian $18 - $54 17%
Molina $18 - $112 17%
Priority Health $18 - $288 17%
UnitedHealthcare $18 - $778 17%
Aetna $27 - $746 25%
Hap (Health Alliance Plan) $27 - $691 25%
Humana $27 - $104 25%
Medicare (plans) $27 - $104 25%
Michigan Amish Medical Board $27 - $104 25%
Northern Michigan Mennonite Group $27 - $104 25%
Prime Health Services $27 - $795 25%
Wellcare Meridian $27 - $104 25%
Cofinity $37 - $760 35%
Provider Network Of America $38 - $734 36%
Asr/Physicians Care $40 - $691 37%
Cigna $42 - $288 39%
Nomi Health $43 - $691 40%
Employee Benefits Logistics $46 - $177 43%
Hospice Of Michigan $386 - $518 361%
Munson Hospice $450 - $852 421%
Enterprise Group Planning/Employee Benefits Plan $514 - $691 481%
Medical Cost Savings Solution $514 - $691 481%
Three Rivers Provider Network $547 - $734 512%
Multiplan $566 - $760 530%
Great West Healthcare $579 - $778 542%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1465 E Parkdale Ave, Manistee, MI 49660
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals