CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sparrow Ionia Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $184
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 1.72x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sparrow Ionia Hospital is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.72x the Medicare baseline. Located in 3565 S State Road, Ionia, MI.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $135 (126%)
Insurance Median: $184 (172%)
Cash: $135 (126% of Medicare)
Ins. Median: $184 (172% 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 $18 - $117 17%
Medicare (plans) $26 - $195 24%
Blue Cross Blue Shield $44 - $462 41%
Priority Health Medihmo $107 100%
Aetna $112 - $553 105%
Covenant Advantage $184 172%
Medigold $184 172%
Senior Community Care $184 172%
Humana $193 - $597 181%
Priority $452 423%
UnitedHealthcare $565 529%
Cigna $584 547%
Great West Healthcare $584 547%
Asr $590 552%
Blue Care Network $590 552%
Health Alliance Plan $590 552%
Cofinity $597 559%
Mclaren Commercial $657 615%

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