CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercy Hospital Washington

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $241
  • Cash Discount Price: $527
  • vs. Medicare Baseline: 2.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercy Hospital Washington is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $527. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.26x the Medicare baseline. Located in 901 East 5Th Street, Washington, MO.
Cash / Self-Pay
$527

Average discount available for prompt cash payment at this facility.

Insurance Median
$241

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: $527 (493%)
Insurance Median: $241 (226%)
Cash: $527 (493% of Medicare)
Ins. Median: $241 (226% 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 226% of the Medicare baseline (a markup of 126%). 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
Medicaid / KanCare $53 - $193 50%
Aetna $99 - $128 93%
American Health Advantage Of Mo Mcr [10473] $99 93%
Blue Cross Blue Shield $99 - $729 93%
Cherokee Nation Health Serv Contracted [320066] $99 93%
Cross Timbers Hospice [20098] $99 93%
Dept Of Veteran Affairs Contracted [320106] $99 93%
Elara Caring Aspire Hospice Contracted [320433] $99 93%
Elara Caring Aspire Hospice [20433] $99 93%
Globalhealth Contracted [320145] $99 93%
Halo Hcr Inc Hospice Contracted [320432] $99 93%
Halo Hcr Inc Hospice [20432] $99 93%
Humana $99 93%
Kindful Hospice Contracted [320434] $99 93%
Kindful Hospice [20434] $99 93%
Medicare (plans) $99 - $810 93%
Mercy Hospice Okc [20252] $99 93%
Pace Of The Ozarks Contracted [320518] $99 93%
Qual Choice Contracted [320325] $99 93%
Tricare $99 93%
UnitedHealthcare $99 - $136 93%
Cigna $101 - $364 95%
Hope Trust Contracted [320488] $101 95%
Medica Contracted [320239] $102 95%
Provider Partners Health Plans Contracted [320450] $109 102%
Healthscope Contracted [320182] $126 118%
United Medical Resources Contracted [320454] $136 127%
Centivo Contracted [320505] $166 155%
Preferred Health Plan Contracted [320522] $176 165%
Ambetter / Centene $193 181%
Home State Health Plan Contracted [320187] $193 181%
Novasys Contracted [320285] $193 181%
Healthlink Contracted [320179] $200 - $551 187%
Aither Health Contracted [320449] $316 296%
Aither Health [20449] $316 296%
Auxiant Contracted [320462] $316 296%
Ebms Contracted [320493] $316 296%
Edison Health Solutions Contracted [320502] $316 296%
Imagine 360 Contracted [320494] $316 296%
Mercy Benefit Admin Contracted [320251] $316 - $405 296%
Mercy Benefit Admin [20251] $316 - $405 296%
Reflect Health Contracted [320492] $316 296%
Show-Me Health Administrators Contracted [320483] $316 296%
Yuzu Health Contracted [320521] $316 296%
Health Choices Contracted [320448] $486 455%
Health Choices [20448] $486 455%
Medical Associates Health Contracted [320444] $486 455%
Federal Medical Center Contracted [320127] $526 492%
Insurance System Inc Contracted [320465] $526 492%
Point C Contracted [320238] $526 492%
Tri State Healthcare Coalition Contracted [320379] $526 492%
First Health Contracted [320128] $575 538%
Multiplan Contracted [320270] $608 569%
Workers Comp [20426] $608 - $648 569%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 East 5Th Street, Washington, MO 63090
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals