CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Essentia Health Holy Trinity Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $544
  • Cash Discount Price: $611
  • vs. Medicare Baseline: 5.09x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Essentia Health Holy Trinity Hospital is $544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $611. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.09x the Medicare baseline. Located in 115 Second Street West, Box 157, Graceville, MN.
Cash / Self-Pay
$611

Average discount available for prompt cash payment at this facility.

Insurance Median
$544

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: $611 (572%)
Insurance Median: $544 (509%)
Cash: $611 (572% of Medicare)
Ins. Median: $544 (509% 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 509% of the Medicare baseline (a markup of 409%). 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%
Healthpartners Care Pmap $322 301%
Medica Access $329 - $515 308%
Sanford Healthplan $355 - $373 332%
Blue Cross Blue Shield $442 - $721 414%
Blue Plus Pmap Pcc Prime $455 - $721 426%
Healthpartners $503 - $550 471%
Advocare/Security Health $513 480%
Freedom Blue Ppo $513 480%
Healthpartners Care Msho / Mcr Adv $513 480%
Imcare Msho Pcc Prime $513 480%
Imcare Msho Ref Req $513 480%
Medica Advantage Solutions $513 480%
Medica Msho/Dual Solutions $513 480%
Medica Prime Solution Group $513 480%
Medicare (plans) $513 480%
Nd Va Administration $513 480%
Platinum Blue/Vantage Blue $513 480%
Primewest Msho $513 480%
Secure Blue Msho $513 480%
Ubh Cost Plan $513 480%
Ubh Msho $513 480%
Ucare Msho $513 480%
UnitedHealthcare $513 - $748 480%
Ucare $544 509%
Cigna $550 515%
Healthpartners Pcc Prime $550 515%
Wea $595 - $637 557%
America'S Ppo $641 600%
Wps $686 - $695 642%
Medica $687 - $724 643%
Medica Uplan $687 643%
Aetna $703 658%
Medica Choice $745 698%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Second Street West, Box 157, Graceville, MN 56240
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals