CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Essentia Health St Joseph's Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $439
  • Cash Discount Price: $657
  • vs. Medicare Baseline: 4.11x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Essentia Health St Joseph's Medical Center is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $657. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.11x the Medicare baseline. Located in 523 North 3Rd Street, Brainerd, MN.
Cash / Self-Pay
$657

Average discount available for prompt cash payment at this facility.

Insurance Median
$439

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: $657 (615%)
Insurance Median: $439 (411%)
Cash: $657 (615% of Medicare)
Ins. Median: $439 (411% 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 411% of the Medicare baseline (a markup of 311%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Itasca Med Care $106 99%
Primewest $106 99%
Advocare/Security Health $114 107%
Blue Cross Blue Shield $114 - $683 107%
Freedom Blue Ppo $114 107%
Healthpartners Care Msho / Mcr Adv $114 107%
Imcare Msho Pcc Prime $114 107%
Imcare Msho Ref Req $114 107%
Medica Advantage Solutions $114 107%
Medica Msho/Dual Solutions $114 107%
Medica Prime Solution Group $114 107%
Medicare (plans) $114 107%
Nd Va Administration $114 107%
Platinum Blue/Vantage Blue $114 107%
Primewest Msho $114 107%
Secure Blue Msho $114 107%
Ubh Cost Plan $114 107%
Ubh Msho $114 107%
Ucare Msho $114 107%
UnitedHealthcare $114 - $743 107%
Medica Access $308 288%
Blue Plus Pmap Pcc Prime $405 - $617 379%
Sanford Health Plan $419 - $441 392%
Healthpartners Care Pmap $420 393%
Medica $621 - $690 581%
Medica Uplan $621 581%
Ucare $642 601%
Wea $703 - $752 658%
Medica Choice $711 666%
Cigna $717 671%
Healthpartners $717 671%
Healthpartners Pcc Prime $717 671%
America'S Ppo $756 708%
Wps $810 - $820 758%
Aetna $830 777%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 523 North 3Rd Street, Brainerd, MN 56401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals