CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Essentia Health Moose Lake

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $388
  • Cash Discount Price: $468
  • vs. Medicare Baseline: 3.63x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Essentia Health Moose Lake is $388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $468. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.63x the Medicare baseline. Located in 4572 County Road 61, Moose Lake, MN.
Cash / Self-Pay
$468

Average discount available for prompt cash payment at this facility.

Insurance Median
$388

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: $468 (438%)
Insurance Median: $388 (363%)
Cash: $468 (438% of Medicare)
Ins. Median: $388 (363% 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 363% of the Medicare baseline (a markup of 263%). 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 - $443 67%
Blue Plus Pmap Pcc Prime $72 - $348 67%
Itasca Med Care $106 99%
Primewest $106 99%
Medica Access $252 - $394 236%
Healthpartners Care Pmap $254 238%
Sanford Healthplan $271 - $286 254%
Advocare/Security Health $298 279%
Freedom Blue Ppo $298 279%
Healthpartners Care Msho / Mcr Adv $298 279%
Imcare Msho Pcc Prime $298 279%
Imcare Msho Ref Req $298 279%
Medica Advantage Solutions $298 279%
Medica Msho/Dual Solutions $298 279%
Medica Prime Solution Group $298 279%
Medicare (plans) $298 279%
Nd Va Administration $298 279%
Platinum Blue/Vantage Blue $298 279%
Primewest Msho $298 279%
Secure Blue Msho $298 279%
Ubh Cost Plan $298 279%
Ubh Msho $298 279%
Ucare Msho $298 279%
UnitedHealthcare $298 - $573 279%
Ucare $417 390%
Healthpartners $443 - $504 415%
Medica $453 - $503 424%
Medica Uplan $453 424%
Wea $456 - $487 427%
America'S Ppo $491 460%
Cigna $494 - $504 463%
Healthpartners Pcc Prime $494 - $504 463%
Medica Choice $518 485%
Wps $525 - $532 492%
Aetna $538 504%

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