CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Perham Health

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $277
  • Cash Discount Price: $500
  • vs. Medicare Baseline: 2.59x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Perham Health is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.59x the Medicare baseline. Located in 1000 Coney Street West, Perham, MN.
Cash / Self-Pay
$500

Average discount available for prompt cash payment at this facility.

Insurance Median
$277

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: $500 (468%)
Insurance Median: $277 (259%)
Cash: $500 (468% of Medicare)
Ins. Median: $277 (259% 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 259% of the Medicare baseline (a markup of 159%). 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.

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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 $213 - $520 199%
Health Partners Mcr Adv $261 244%
Humana $261 244%
Medica Mcr Adv $261 244%
Medicare (plans) $261 - $291 244%
Ucare Mn Senior Health Options $261 244%
UnitedHealthcare $269 - $600 252%
Ucare Mn Special Needs Basic Care Dual $275 257%
Medicaid / KanCare $277 259%
Ucare Mn Medical Assistance $277 259%
Ucare Mn Minnesota Care $277 259%
Ucare Mn Senior Care Plus $277 259%
Ucare Mn Special Needs Basic Care $277 259%
Medica Mcaid Mn Care $281 263%
Medica Mn (Msho) $317 297%
Ucare Individual And Family Plan-All Other Plans $318 298%
Medica Mn Senior Hp/Outside Mn $350 328%
Health Partners Minnesota Care $384 360%
Medica Commercial-All Other Plans $563 527%
Preferred One (Pchp, Pic, Pas)-All Other Plans $577 540%
Health Partners-All Plans $631 591%
Preferred One (Ppo) $654 612%
Sanford Health Plan-All Plans $654 612%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Coney Street West, Perham, MN 56573
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals