CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sanford Canby Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $789
Cash Discount Price: $772
vs. Medicare Baseline: 7.39x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sanford Canby Medical Center is $789. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.39x the Medicare baseline. Located in 112 St Olaf Avenue South, Canby, MN.

Cash / Self-Pay

$772

Average discount available for prompt cash payment at this facility.

Insurance Median

$789

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: $772 (723%)

Insurance Median: $789 (739%)

Cash: $772 (723% of Medicare)

Ins. Median: $789 (739% 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 739% of the Medicare baseline (a markup of 639%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$112 - $848	105%
Blue Cross Blue Shield	$234 - $789	219%
Sanford Health Plan Align	$440	412%
Aetna	$477 - $839	447%
Health Partners	$477 - $772	447%
Medicare (plans)	$477	447%
UnitedHealthcare	$477 - $806	447%
Primewest	$486 - $531	455%
Security Health Plan	$531	497%
Sanford Health Plan	$762 - $896	713%
Medica	$848 - $913	794%
Cigna	$868	813%
First Choice Health Network	$868	813%
Healthez	$868	813%
Multiplan	$868	813%

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 $772.
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 Sanford Canby Medical Center 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.