CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Sparrow Ionia Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $203
  • Cash Discount Price: $159
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Sparrow Ionia Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.90x the Medicare baseline. Located in 3565 S State Road, Ionia, MI.
Cash / Self-Pay
$159

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $159 (149%)
Insurance Median: $203 (190%)
Cash: $159 (149% of Medicare)
Ins. Median: $203 (190% 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.

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
Medicaid / KanCare $24 - $117 22%
Medicare (plans) $36 - $215 34%
Blue Cross Blue Shield $61 - $508 57%
Priority Health Medihmo $107 100%
Aetna $112 - $202 105%
Covenant Advantage $202 189%
Medigold $202 189%
Senior Community Care $202 189%
Humana $213 - $656 199%
Priority $497 465%
UnitedHealthcare $621 581%
Cigna $642 601%
Great West Healthcare $642 601%
Asr $648 607%
Blue Care Network $648 607%
Health Alliance Plan $648 607%
Cofinity $656 614%
Mclaren Commercial $722 676%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3565 S State Road, Ionia, MI 48846
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals