CMS Price Transparency Data
Ultrasound, abdomen (limited)
Facility: Mercy Hospital Lincoln
Billing Code: 76705 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76705
- Insurance Median: $162
- Cash Discount Price: $337
- vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mercy Hospital Lincoln is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $337. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.52x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$337
Average discount available for prompt cash payment at this facility.
Insurance Median
$162
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: $337 (316%)
Insurance Median: $162 (152%)
Cash: $337 (316% of Medicare)
Ins. Median: $162 (152% 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.
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 | $12 - $389 | 11% |
| Aetna | $28 - $555 | 26% |
| Medicare (plans) | $41 - $848 | 38% |
| Tricare | $41 - $181 | 38% |
| UnitedHealthcare | $42 - $560 | 39% |
| Provider Partners Health Plans Contracted [320450] | $44 - $198 | 41% |
| American Health Advantage Of Mo Mcr [10473] | $45 - $200 | 42% |
| Blue Cross Blue Shield | $45 - $653 | 42% |
| Cherokee Nation Health Serv Contracted [320066] | $45 - $200 | 42% |
| Cross Timbers Hospice [20098] | $45 - $200 | 42% |
| Dept Of Veteran Affairs Contracted [320106] | $45 - $200 | 42% |
| Elara Caring Aspire Hospice Contracted [320433] | $45 - $200 | 42% |
| Elara Caring Aspire Hospice [20433] | $45 - $200 | 42% |
| Globalhealth Contracted [320145] | $45 - $200 | 42% |
| Halo Hcr Inc Hospice Contracted [320432] | $45 - $200 | 42% |
| Halo Hcr Inc Hospice [20432] | $45 - $200 | 42% |
| Humana | $45 - $763 | 42% |
| Indian Health Service Contracted [320198] | $45 - $200 | 42% |
| Kindful Hospice Contracted [320434] | $45 - $200 | 42% |
| Kindful Hospice [20434] | $45 - $200 | 42% |
| Mercy Hospice Okc [20252] | $45 - $200 | 42% |
| Pace Of The Ozarks Contracted [320518] | $45 - $200 | 42% |
| Qual Choice Contracted [320325] | $45 - $200 | 42% |
| Cigna | $48 - $213 | 45% |
| Centivo Contracted [320505] | $69 - $308 | 65% |
| Medica Contracted [320239] | $80 - $356 | 75% |
| Ambetter / Centene | $87 - $389 | 81% |
| Home State Health Plan Contracted [320187] | $87 - $389 | 81% |
| Novasys Contracted [320285] | $87 - $389 | 81% |
| Hope Trust Contracted [320488] | $94 - $420 | 88% |
| Health Choices Contracted [320448] | $114 - $509 | 107% |
| Health Choices [20448] | $114 - $509 | 107% |
| Medical Associates Health Contracted [320444] | $114 - $509 | 107% |
| First Health Contracted [320128] | $124 - $555 | 116% |
| United Medical Resources Contracted [320454] | $125 - $560 | 117% |
| Mercy Mgd Behavioral Health Contracted [320259] | $142 | 133% |
| Multiplan Contracted [320270] | $142 - $636 | 133% |
| Private Health Care Systems Contracted [320320] | $142 | 133% |
| Workers Comp [20426] | $142 - $678 | 133% |
| Healthlink Contracted [320179] | $154 - $755 | 144% |
| Aither Health Contracted [320449] | $162 - $721 | 152% |
| Aither Health [20449] | $162 - $721 | 152% |
| Auxiant Contracted [320462] | $162 - $721 | 152% |
| Ebms Contracted [320493] | $162 - $721 | 152% |
| Edison Health Solutions Contracted [320502] | $162 - $721 | 152% |
| Federal Medical Center Contracted [320127] | $162 - $721 | 152% |
| Imagine 360 Contracted [320494] | $162 - $721 | 152% |
| Insurance System Inc Contracted [320465] | $162 - $721 | 152% |
| Mercy Benefit Admin Contracted [320251] | $162 - $721 | 152% |
| Mercy Benefit Admin [20251] | $162 - $721 | 152% |
| Point C Contracted [320238] | $162 - $721 | 152% |
| Preferred Health Plan Contracted [320522] | $162 - $721 | 152% |
| Reflect Health Contracted [320492] | $162 - $721 | 152% |
| Show-Me Health Administrators Contracted [320483] | $162 - $721 | 152% |
| Tri State Healthcare Coalition Contracted [320379] | $162 - $721 | 152% |
| Yuzu Health Contracted [320521] | $162 - $721 | 152% |