CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Barnes Jewish Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $569
  • Cash Discount Price: $589
  • vs. Medicare Baseline: 5.33x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Barnes Jewish Hospital is $569. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $589. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.33x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.
Cash / Self-Pay
$589

Average discount available for prompt cash payment at this facility.

Insurance Median
$569

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: $589 (551%)
Insurance Median: $569 (533%)
Cash: $589 (551% of Medicare)
Ins. Median: $569 (533% 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 533% of the Medicare baseline (a markup of 433%). 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
Aetna $105 - $736 98%
Blue Cross Blue Shield $105 - $853 98%
Essence Healthcare [221] $105 98%
Humana $105 - $288 98%
UnitedHealthcare $105 - $729 98%
Cox Health [757] $110 103%
Devoted Health Plan [847] $110 103%
Medica [662] $110 103%
Cigna $238 - $785 223%
Consociate [478] $280 262%
Sarah Bush Lincoln [636] $280 262%
Apwu Health Plan [216] $329 308%
Nalc Health Benefit Plan [242] $329 308%
Priority Health [648] $329 308%
Allied Benefits [498] $350 - $729 328%
Coresource [497] $350 328%
Fmh Benefit Service Inc [222] $350 328%
Mail Handlers [495] $350 328%
Healthlink [225] $476 - $741 446%
Cox Health Systems Insurance Company [220] $540 - $638 506%
Health Alliance [224] $540 506%
Healthscope Benefits [258] $553 - $638 518%
Hope Trust [806] $569 533%
Med-Pay [480] $638 - $736 597%
Unicare [568] $638 - $741 597%
First Health Commercial [734] $729 683%
Beechstreet [551] $736 689%
Detego Health [868] $736 689%
Health Systems Inc [620] $736 689%
Healthcare Sol Mercy [609] $736 689%
Multiplan Commercial [737] $736 689%
Multiplan [240] $736 689%
Phcs [244] $736 - $785 689%
Preferred Health Professionals [561] $741 694%
Medica [661] $785 735%
Hfn [563] $834 781%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Barnes-Jewish Hospital Plaza, Saint Louis, MO 63110
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals