CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mosaic Life Care at St Joseph

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $630
Cash Discount Price: $935
vs. Medicare Baseline: 5.90x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mosaic Life Care at St Joseph is $630. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $935. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.90x the Medicare baseline. Located in 5325 Faraon Street, Saint Joseph, MO.

Cash / Self-Pay

$935

Average discount available for prompt cash payment at this facility.

Insurance Median

$630

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: $935 (875%)

Insurance Median: $630 (590%)

Cash: $935 (875% of Medicare)

Ins. Median: $630 (590% 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 590% of the Medicare baseline (a markup of 490%). 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
Aetna	$23 - $910	22%
Medicaid / KanCare	$23 - $91	22%
UnitedHealthcare	$23 - $1,551	22%
Amerigroup Of Iowa	$29 - $77	27%
Blue Cross Blue Shield	$29 - $955	27%
Iowa Total Care	$29 - $77	27%
Molina Of Iowa	$29 - $77	27%
Multiplan	$100 - $990	94%
Centurion	$106 - $770	99%
Geha Shared Services	$123 - $893	115%
Freedom Select Healthlink	$130 - $944	122%
Healthlink Open Access	$130 - $944	122%
Preferred Health Professional	$130 - $944	122%
Sisco	$130 - $944	122%
Cigna	$133 - $968	125%
Ambetter / Centene	$143 - $204	134%
Home State Of Missouri	$1,305 - $1,595	1222%
Healthy Blue Of Missouri	$1,602 - $1,958	1500%

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 $935.
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 Mosaic Life Care at St Joseph 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.