CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercy Health Lakeshore Campus

Billing Code: 76700 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$150

about 1.4× the $107 Medicare rate · typically $94–$250

modeled estimate · not a bill or quote

What this hospital charges insurers

$156

About the fair price

about $6 over the fair price · 1.5× Medicare

Medicare pays $107 Fair price $150 This hospital $156 Cash price $501 Hospital's list price $770

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 9 MI hospitals we have prices for — worth calling around.

Cheapest $38 Priciest $156

Black dot = this hospital, among the 9 MI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, abdomen (complete) is about $150 (about 1.4× the $107 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $156, or about $501 in cash — about the fair price. Located in Shelby, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$270 - $693	253%
Blue Cross Blue Shieldmajor	$79 - $189	74%
Aetnamajor	$192	180%
Cignamajor	$668	625%
Humanamajor	$689	645%
AmeriHealth	$689	645%
CareSource	$687	643%
Dean Health Plan	$662	620%
GEHA	$693	649%
Medical Mutual	$689	645%
Molina	$320	300%
MVP Health Care	$662	620%
Oscar Health	$237	222%
Paramount	$662	620%
Priority Health	$694	650%
UniCare	$689	645%
+ 116 smaller / regional plans	$135 - $707

Government programs also on file: Medicare, Medicaid.

Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 501), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76700.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Health Lakeshore Campus is in-network.
Ask your insurer whether prior approval is required for CPT code 76700.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Health Lakeshore Campus

Compare: Ultrasound, abdomen (complete) at other MI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.