CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Essentia Health Virginia

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $352
  • Cash Discount Price: $534
  • vs. Medicare Baseline: 3.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Essentia Health Virginia is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $534. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.30x the Medicare baseline. Located in 901 9Th Street North, Virginia, MN.
Cash / Self-Pay
$534

Average discount available for prompt cash payment at this facility.

Insurance Median
$352

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: $534 (500%)
Insurance Median: $352 (330%)
Cash: $534 (500% of Medicare)
Ins. Median: $352 (330% 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 330% of the Medicare baseline (a markup of 230%). 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
Advocare/Security Health $104 97%
Blue Cross Blue Shield $104 - $647 97%
Freedom Blue Ppo $104 97%
Healthpartners Care Msho / Mcr Adv $104 97%
Imcare Msho Pcc Prime $104 97%
Imcare Msho Ref Req $104 97%
Medica Advantage Solutions $104 97%
Medica Msho/Dual Solutions $104 97%
Medica Prime Solution Group $104 97%
Medicare (plans) $104 97%
Nd Va Administration $104 97%
Platinum Blue/Vantage Blue $104 97%
Primewest Msho $104 97%
Secure Blue Msho $104 97%
Ubh Cost Plan $104 97%
Ubh Msho $104 97%
Ucare Msho $104 97%
UnitedHealthcare $104 - $749 97%
Itasca Med Care $106 99%
Primewest $106 99%
Sanford Healthplan $188 - $365 176%
Medica Access $196 184%
Healthpartners Care Pmap $339 317%
Blue Plus Pmap Pcc Prime $400 374%
Medica $542 - $603 507%
Medica Uplan $542 507%
Ucare $560 524%
Healthpartners $608 - $769 569%
Wea $613 - $655 574%
Medica Choice $620 580%
Security Health $655 613%
America'S Ppo $660 618%
Wps $715 669%
Aetna $723 677%
Cigna $769 720%
Healthpartners Pcc Prime $769 720%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals