CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Lakewood Health System

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $54
Cash Discount Price: $213
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Lakewood Health System is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.51x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.

Cash / Self-Pay

$213

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $213 (199%)

Insurance Median: $54 (51%)

Cash: $213 (199% of Medicare)

Ins. Median: $54 (51% 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
Ucare Msho/Special Needs	$18 - $254	17%
Blue Cross Blue Shield	$27 - $454	25%
Humana	$27 - $249	25%
Ucare Mcr Adv	$27 - $254	25%
UnitedHealthcare	$27 - $549	25%
Medica Msho/Mcr Adv	$28 - $247	26%
Ucare Individual/Family - All Other Plans	$33 - $284	31%
Medica Choice Care	$35 - $301	33%
Health Partners - All Plans	$42 - $580	39%
Medica Choice/Focus/Ifb/Mhps - All Other Plans	$47 - $552	44%
Preferred One Hmo	$54 - $586	51%
Preferred One Ppo - All Other Plans	$57 - $586	53%

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 $213.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lakewood Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.