CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: M Health Fairview Southdale Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $117
Cash Discount Price: $278
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at M Health Fairview Southdale Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 6401 France Avenue South, Edina, MN.

Cash / Self-Pay

$278

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $278 (260%)

Insurance Median: $117 (110%)

Cash: $278 (260% of Medicare)

Ins. Median: $117 (110% 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.

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
Health Partners	$26 - $319	24%
Itasca Medical Care	$26 - $111	24%
Primewest	$26 - $111	24%
South Country Health Alliance	$26 - $111	24%
Ucare	$27 - $308	25%
Medica	$28 - $403	26%
Blue Cross Blue Shield	$30 - $397	28%
Hennepin Health	$30 - $108	28%
Sanford Health Plan	$36 - $409	34%
Security Health Plan	$36 - $521	34%
UnitedHealthcare	$36 - $286	34%
Wellcare	$36 - $111	34%
America'S Ppo	$104 - $500	97%
First Health	$112 - $569	105%
Multiplan	$116 - $590	109%
Private Healthcare Systems	$116 - $590	109%
Wisconsin Physician Services	$123 - $625	115%

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 $278.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm M Health Fairview Southdale Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.