CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Charlevoix Area Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $406
Cash Discount Price: $590
vs. Medicare Baseline: 3.80x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Charlevoix Area Hospital is $406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $590. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.80x the Medicare baseline. Located in 14700 Lakeshore Drive, Charlevoix, MI.

Cash / Self-Pay

$590

Average discount available for prompt cash payment at this facility.

Insurance Median

$406

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: $590 (552%)

Insurance Median: $406 (380%)

Cash: $590 (552% of Medicare)

Ins. Median: $406 (380% 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 380% of the Medicare baseline (a markup of 280%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $798	17%
Mclaren Health Plan	$18 - $804	17%
Meridian	$18 - $74	17%
Priority Health	$18 - $864	17%
UnitedHealthcare	$18 - $751	17%
Aetna	$27 - $780	25%
Blue Care Network	$27 - $406	25%
Hap (Health Alliance Plan)	$27 - $691	25%
Medicare (plans)	$27 - $406	25%
Michigan Amish Medical Board	$27 - $406	25%
Molina	$27 - $439	25%
Northern Michigan Mennonite Group	$27 - $406	25%
Asr Physicians Care Network	$40 - $691	37%
Cigna	$42 - $864	39%
Nomi Health	$43 - $804	40%
Employee Benefits Logistics	$46 - $690	43%
Provider Network Of America/Hma Group Health	$147 - $734	138%
Hospice Of Michigan	$315 - $518	295%
Enterprise Group Planning Employee Benefit Plan	$420 - $691	393%
First Health/Coventry Health/Community Care Network	$420 - $691	393%
Medical Cost Savings Solution	$420 - $691	393%
Three Rivers Provider Network	$446 - $734	418%
Iba Health And Life Assurance Company	$483 - $795	452%
Cofinity	$488 - $804	457%
Preferred Medical Claim Solutions	$499 - $821	467%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $590.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Charlevoix Area Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.