CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Madelia Health

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $862
  • Cash Discount Price: $897
  • vs. Medicare Baseline: 8.07x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Madelia Health is $862. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $897. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.07x the Medicare baseline. Located in 121 Drew Avenue Southeast, Madelia, MN.
Cash / Self-Pay
$897

Average discount available for prompt cash payment at this facility.

Insurance Median
$862

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: $897 (840%)
Insurance Median: $862 (807%)
Cash: $897 (840% of Medicare)
Ins. Median: $862 (807% 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 807% of the Medicare baseline (a markup of 707%). 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
Blue Cross Blue Shield $439 - $1,003 411%
Tricare $761 712%
Ucare Mcr/Msho/Sr Plus $802 751%
UnitedHealthcare $802 751%
Ucare Comm - All Other Plans $922 863%
Health Partners - All Plans $1,000 936%
Preferred One Ppo - All Plans $1,077 1008%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 121 Drew Avenue Southeast, Madelia, MN 56062
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals