CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercy St Francis Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,120
Cash Discount Price: $809
vs. Medicare Baseline: 10.49x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercy St Francis Hospital is $1,120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $809. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.49x the Medicare baseline. Located in 100 West Highway 60, Po Box 82, Mountain View, MO.

Cash / Self-Pay

$809

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,120

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: $809 (757%)

Insurance Median: $1,120 (1049%)

Cash: $809 (757% of Medicare)

Ins. Median: $1,120 (1049% 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 1049% of the Medicare baseline (a markup of 949%). 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
Medicaid / KanCare	$60 - $646	56%
Medicare (plans)	$99 - $444	93%
Blue Cross Blue Shield	$100 - $1,207	94%
UnitedHealthcare	$140 - $1,182	131%
Tricare	$423	396%
Aetna	$427 - $1,107	400%
Cherokee Nation Health Serv Contracted [320066]	$427	400%
Cigna	$427 - $1,182	400%
Cross Timbers Hospice [20098]	$427	400%
Dept Of Veteran Affairs Contracted [320106]	$427	400%
Elara Caring Aspire Hospice [20433]	$427	400%
Globalhealth Contracted [320145]	$427	400%
Halo Hcr Inc Hospice Contracted [320432]	$427	400%
Halo Hcr Inc Hospice [20432]	$427	400%
Humana	$427 - $1,120	400%
Indian Health Service Contracted [320198]	$427	400%
Kindful Hospice Contracted [320434]	$427	400%
Kindful Hospice [20434]	$427	400%
Medical Associates Health Contracted [320444]	$427	400%
Mercy Hospice Okc [20252]	$427	400%
Mercy Mgd Behavioral Health Contracted [320259]	$427	400%
Pace Of The Ozarks Contracted [320518]	$427	400%
Provider Partners Health Plans Contracted [320450]	$427	400%
Qual Choice Contracted [320325]	$427	400%
Administrative Payor Contracted [320005]	$560	524%
Healthscope Contracted [320182]	$567	531%
Ambetter / Centene	$646	605%
Home State Health Plan Contracted [320187]	$646	605%
Novasys Contracted [320285]	$646	605%
Centivo Contracted [320505]	$722	676%
Healthlink Contracted [320179]	$809 - $1,182	757%
Preferred Health Plan Contracted [320522]	$809	757%
Workers Comp [20426]	$995 - $1,057	932%
Auxiant Contracted [320462]	$1,120 - $1,182	1049%
Mercy Benefit Admin Contracted [320251]	$1,120 - $1,182	1049%
Point C Contracted [320238]	$1,120 - $1,182	1049%
United Medical Resources Contracted [320454]	$1,120 - $1,157	1049%
Medica Contracted [320239]	$1,176	1101%
90 Degree Benefits Contracted [320436]	$1,182	1107%
Aither Health Contracted [320449]	$1,182	1107%
Benefit Management Contracted [320052]	$1,182	1107%
Ebms Contracted [320493]	$1,182	1107%
Edison Health Solutions Contracted [320502]	$1,182	1107%
Evolutions Health Care Contracted [320124]	$1,182	1107%
First Health Contracted [320128]	$1,182	1107%
Health Systems Inc Contracted [320174]	$1,182	1107%
Imagine 360 Contracted [320494]	$1,182	1107%
Insurance System Inc Contracted [320465]	$1,182	1107%
Multiplan Contracted [320270]	$1,182	1107%
Point C [20238]	$1,182	1107%
Private Health Care Systems Contracted [320320]	$1,182	1107%
Reflect Health Contracted [320492]	$1,182	1107%
Show-Me Health Administrators Contracted [320483]	$1,182	1107%
Usa Managed Care Org Contracted [320429]	$1,182	1107%
Yuzu Health Contracted [320521]	$1,182	1107%

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 $809.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mercy St Francis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.