CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mosaic Life Care at St Joseph

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $137
Cash Discount Price: $1,275
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mosaic Life Care at St Joseph is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,275. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.28x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$1,275

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $1,275 (1194%)

Insurance Median: $137 (128%)

Cash: $1,275 (1194% of Medicare)

Ins. Median: $137 (128% 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.

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
Aetna	$31 - $1,240	29%
Medicaid / KanCare	$31 - $93	29%
UnitedHealthcare	$31 - $2,115	29%
Amerigroup Of Iowa	$39 - $106	37%
Iowa Total Care	$39 - $106	37%
Molina Of Iowa	$39 - $106	37%
Blue Cross Blue Shield	$41 - $1,302	38%
Multiplan	$138 - $1,350	129%
Ambetter / Centene	$190 - $204	178%
Centurion	$600 - $1,050	562%
Geha Shared Services	$1,218	1140%
Freedom Select Healthlink	$1,288	1206%
Healthlink Open Access	$1,288	1206%
Preferred Health Professional	$1,288	1206%
Sisco	$1,288	1206%
Cigna	$1,320	1236%
Home State Of Missouri	$2,175	2036%
Healthy Blue Of Missouri	$2,670	2500%

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 $1,275.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mosaic Life Care at St Joseph is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.