CMS Price Transparency Data
Ultrasound, abdomen (complete)
Facility: Mercy Health Lakeshore Campus
Billing Code: 76700 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76700
- Insurance Median: $689
- Cash Discount Price: $501
- vs. Medicare Baseline: 6.45x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercy Health Lakeshore Campus is $689. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $501. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.45x the Medicare baseline. Located in 72 South State Street, Shelby, MI.
Cash / Self-Pay
$501
Average discount available for prompt cash payment at this facility.
Insurance Median
$689
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: $501 (469%)
Insurance Median: $689 (645%)
Cash: $501 (469% of Medicare)
Ins. Median: $689 (645% 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 645% of the Medicare baseline (a markup of 545%). 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 | $79 - $189 | 74% |
| Medicaid / KanCare | $79 - $80 | 74% |
| Access Health | $135 | 126% |
| Wellpath | $156 | 146% |
| Blue Care Network Advantage | $189 | 177% |
| Medicare (plans) | $189 | 177% |
| Aetna | $192 | 180% |
| Align Senior Care | $192 | 180% |
| Correctional Recovery | $192 | 180% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $217 | 203% |
| Oscar | $237 | 222% |
| U Of M Health Plan | $253 - $689 | 237% |
| Vitalcore | $257 | 241% |
| UnitedHealthcare | $270 - $693 | 253% |
| Molina Marketplace | $320 | 300% |
| Hospice Of Michigan | $424 | 397% |
| Nomi Health | $431 | 404% |
| Hap | $577 - $707 | 540% |
| Wc Accident Fund | $607 | 568% |
| Wc Advantage | $607 | 568% |
| Wc Aig | $607 | 568% |
| Wc Allied | $607 | 568% |
| Wc Amerisure | $607 | 568% |
| Wc Amtrust | $607 | 568% |
| Wc Asu Risk Mgt | $607 | 568% |
| Wc Berkley Admin | $607 | 568% |
| Wc Broadspire | $607 | 568% |
| Wc Bunch & Associates | $607 | 568% |
| Wc Ccmsi | $607 | 568% |
| Wc Emc Insurance Company | $607 | 568% |
| Wc Esis | $607 | 568% |
| Wc Fcci | $607 | 568% |
| Wc Federated | $607 | 568% |
| Wc Gallagher Bassett | $607 | 568% |
| Wc Genex Care For Ohio | $607 | 568% |
| Wc Guard Insurance Company | $607 | 568% |
| Wc Hartford | $607 | 568% |
| Wc Liberty Mutual | $607 | 568% |
| Wc Meijers | $607 | 568% |
| Wc Michigan | $607 | 568% |
| Wc Mitchell Frankenmuth | $607 | 568% |
| Wc Pma | $607 | 568% |
| Wc Sedgwick | $607 | 568% |
| Wc Sentry | $607 | 568% |
| Wc Travelers | $607 | 568% |
| Wc Tristar | $607 | 568% |
| Wc Walmart | $607 | 568% |
| Wc Zurich | $607 | 568% |
| Asr Health Benefits | $641 | 600% |
| 1199 National Benefit Fund | $662 | 620% |
| Allied National Global Care | $662 | 620% |
| Asrm - Reliance Standard Life Insurance | $662 | 620% |
| Christian Care Ministry | $662 | 620% |
| Dean Health | $662 | 620% |
| Fallon Health | $662 | 620% |
| Family Life Insurance Company | $662 | 620% |
| Ghc Scw | $662 | 620% |
| Group Pension Administrators | $662 | 620% |
| International Benefit Administrators | $662 | 620% |
| Lifetime Benefit Solutions | $662 | 620% |
| Manhattan Life | $662 | 620% |
| Medi Share | $662 | 620% |
| Multiplan | $662 | 620% |
| Mvp | $662 | 620% |
| Pai | $662 | 620% |
| Pan-American Life | $662 | 620% |
| Paramount Hmo | $662 | 620% |
| Phcs | $662 | 620% |
| Trinity Health Share | $662 | 620% |
| Cigna | $668 | 625% |
| Caresource | $687 | 643% |
| Acclaim | $689 | 645% |
| Administrative Concepts | $689 | 645% |
| Allegeant | $689 | 645% |
| Allied Benefit Systems | $689 | 645% |
| Ameriben | $689 | 645% |
| American Family | $689 | 645% |
| American Healthcare Alliance | $689 | 645% |
| American Republic | $689 | 645% |
| Amerihealth | $689 | 645% |
| Aultcare | $689 | 645% |
| Automated Benefit Services | $689 | 645% |
| Auxiant | $689 | 645% |
| Benefit Administrative Systems,Llc | $689 | 645% |
| Boon Chapman | $689 | 645% |
| Cam Administrative Services | $689 | 645% |
| Christian Brother Services | $689 | 645% |
| Christian Brothers Holy Cross | $689 | 645% |
| Claimchoice Adminstrators | $689 | 645% |
| Comprehensive Benefits | $689 | 645% |
| Consociate | $689 | 645% |
| Continental Life Insurance | $689 | 645% |
| Custom Benefit Administrators | $689 | 645% |
| Cypress Benefit Administrators | $689 | 645% |
| Employee Benefit Concepts | $689 | 645% |
| Employee Benefit Management | $689 | 645% |
| Enterprise Group Planning | $689 | 645% |
| Forest County Potawatomi | $689 | 645% |
| Freedom Life Insurance Company | $689 | 645% |
| Group Administrators | $689 | 645% |
| Group Marketing Services | $689 | 645% |
| Guardian | $689 | 645% |
| Health America | $689 | 645% |
| Health Choices | $689 | 645% |
| Health Smart | $689 | 645% |
| Healthez | $689 | 645% |
| Healthgram | $689 | 645% |
| Healthscope | $689 | 645% |
| Humana | $689 | 645% |
| Insight | $689 | 645% |
| Intercare | $689 | 645% |
| Jfp Benefit Management | $689 | 645% |
| Jp Farley Corporation | $689 | 645% |
| Key Benefit Administrator | $689 | 645% |
| Liberty Union Life Assurance Co | $689 | 645% |
| Lucent Health | $689 | 645% |
| Luminare Health | $689 | 645% |
| Luminare Health (Detroit) | $689 | 645% |
| Medben | $689 | 645% |
| Medcost | $689 | 645% |
| Medical Mutual | $689 | 645% |
| Mutual Health Services | $689 | 645% |
| Mutual Of Omaha | $689 | 645% |
| Ncas | $689 | 645% |
| Nippon Life Ins | $689 | 645% |
| Nova | $689 | 645% |
| Painters Union Insurance Fund | $689 | 645% |
| Physicians Mutual | $689 | 645% |
| Plumbers Local 98 Insurance Fund | $689 | 645% |
| Prairie States | $689 | 645% |
| Primary Physician Care | $689 | 645% |
| Professional Benefit Administrators | $689 | 645% |
| Secureone Preferred United Plans | $689 | 645% |
| The Loomis Company | $689 | 645% |
| Trustmark Small Business Benefits | $689 | 645% |
| Unicare | $689 | 645% |
| Unified Group Services | $689 | 645% |
| Us Health And Life | $689 | 645% |
| Valenz | $689 | 645% |
| Varipro | $689 - $707 | 645% |
| Western & Southern Financial Group | $689 | 645% |
| Wps | $689 | 645% |
| Geha | $693 | 649% |
| Priority Health | $694 | 650% |
| First Health | $696 | 652% |