CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Essentia Health Moose Lake

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $485
  • Cash Discount Price: $611
  • vs. Medicare Baseline: 4.54x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Essentia Health Moose Lake is $485. 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 4.54x the Medicare baseline. Located in 4572 County Road 61, Moose Lake, MN.
Cash / Self-Pay
$611

Average discount available for prompt cash payment at this facility.

Insurance Median
$485

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: $485 (454%)
Cash: $611 (572% of Medicare)
Ins. Median: $485 (454% 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 454% of the Medicare baseline (a markup of 354%). 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 $72 - $579 67%
Blue Plus Pmap Pcc Prime $72 - $455 67%
Itasca Med Care $106 99%
Primewest $106 99%
Medica Access $329 - $515 308%
Healthpartners Care Pmap $332 311%
Sanford Healthplan $355 - $373 332%
Advocare/Security Health $389 364%
Freedom Blue Ppo $389 364%
Healthpartners Care Msho / Mcr Adv $389 364%
Imcare Msho Pcc Prime $389 364%
Imcare Msho Ref Req $389 364%
Medica Advantage Solutions $389 364%
Medica Msho/Dual Solutions $389 364%
Medica Prime Solution Group $389 364%
Medicare (plans) $389 364%
Nd Va Administration $389 364%
Platinum Blue/Vantage Blue $389 364%
Primewest Msho $389 364%
Secure Blue Msho $389 364%
Ubh Cost Plan $389 364%
Ubh Msho $389 364%
Ucare Msho $389 364%
UnitedHealthcare $389 - $748 364%
Ucare $544 509%
Healthpartners $579 - $659 542%
Medica $591 - $657 553%
Medica Uplan $591 553%
Wea $595 - $637 557%
America'S Ppo $641 600%
Cigna $645 - $659 604%
Healthpartners Pcc Prime $645 - $659 604%
Medica Choice $677 634%
Wps $686 - $695 642%
Aetna $703 658%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4572 County Road 61, Moose Lake, MN 55767
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals