CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sanford Thief River Falls Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $549
Cash Discount Price: $665
vs. Medicare Baseline: 5.14x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sanford Thief River Falls Medical Center is $549. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $665. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.14x the Medicare baseline. Located in 3001 Sanford Parkway, Thief River Falls, MN.

Cash / Self-Pay

$665

Average discount available for prompt cash payment at this facility.

Insurance Median

$549

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: $665 (623%)

Insurance Median: $549 (514%)

Cash: $665 (623% of Medicare)

Ins. Median: $549 (514% 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 514% of the Medicare baseline (a markup of 414%). 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
Primewest	$112 - $349	105%
Ucare	$112 - $730	105%
Blue Cross Blue Shield	$285 - $574	267%
Sanford Health Plan Align	$316	296%
Aetna	$342 - $722	320%
Health Partners	$342 - $673	320%
Medicare (plans)	$342	320%
UnitedHealthcare	$342 - $694	320%
Sanford Health Plan	$445 - $524	417%
Security Health Plan	$457	428%
Medica	$730 - $786	683%
Cigna	$748	700%
First Choice Health Network	$748	700%
Healthez	$748	700%
Multiplan	$748	700%

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 $665.
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 Thief River Falls 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.