CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Cox Medical Centers

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $117
Cash Discount Price: $250
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Cox Medical Centers is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $250. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.10x the Medicare baseline. Located in 3801 South National Avenue, Springfield, MO.

Cash / Self-Pay

$250

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

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: $250 (234%)

Insurance Median: $117 (110%)

Cash: $250 (234% of Medicare)

Ins. Median: $117 (110% 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
Cox Healthplans	$104	97%
Health Net Federal Services	$104	97%
Humana	$104	97%
Medrisk Llc	$104	97%
UnitedHealthcare	$104 - $634	97%
Blue Cross Blue Shield	$106 - $740	99%
Allwell	$107	100%
Parkcrest Dental Group	$108	101%
Coastal Energy Corporation	$109	102%
Devoted	$111	104%
Heart Of America Beverage Company	$111	104%
Provider Partners Health Plan	$111	104%
Loren Cook	$113	106%
Springfieldgreene Co Library	$115	108%
Src Holdings Corporation	$116	109%
Ozark Anesthesia Assoc. Inc	$118	110%
Justice Furniture And Bedding Co	$121	113%
Missouri Affiliated School Consortium (Masc)	$121	113%
The Durham Company	$121	113%
Ozark County	$122	114%
Ozarks Cocacola	$123	115%
Flora Farms	$126	118%
Advanced Concrete Technology	$127	119%
Texas Co Memorial Hospital	$368	345%
Bjc Health Solutions	$398 - $991	373%

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 $250.
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 Cox Medical Centers 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.