CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Missouri Baptist Sullivan Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,105
  • Cash Discount Price: $1,020
  • vs. Medicare Baseline: 10.35x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Missouri Baptist Sullivan Hospital is $1,105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,020. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.35x the Medicare baseline. Located in 751 Sappington Bridge Rd, Sullivan, MO.
Cash / Self-Pay
$1,020

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,105

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: $1,020 (955%)
Insurance Median: $1,105 (1035%)
Cash: $1,020 (955% of Medicare)
Ins. Median: $1,105 (1035% 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 1035% of the Medicare baseline (a markup of 935%). 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
Consociate [478] $237 222%
Sarah Bush Lincoln [636] $237 222%
Cigna $247 - $1,360 231%
Aetna $374 - $1,275 350%
Essence Healthcare [221] $374 350%
Humana $377 - $1,130 353%
UnitedHealthcare $381 - $1,263 357%
Cox Health [757] $393 368%
Blue Cross Blue Shield $396 - $1,479 371%
Medica [662] $400 374%
Devoted Health Plan [847] $411 385%
Healthscope Benefits [258] $474 - $1,105 444%
Healthlink [225] $824 - $1,284 771%
Cox Health Systems Insurance Company [220] $935 - $1,105 875%
Health Alliance [224] $935 875%
Allied Benefits [498] $986 - $1,263 923%
Hope Trust [806] $986 923%
Coresource [497] $1,025 960%
Fmh Benefit Service Inc [222] $1,025 960%
Mail Handlers [495] $1,025 960%
Med-Pay [480] $1,105 - $1,275 1035%
Unicare [568] $1,105 - $1,284 1035%
Apwu Health Plan [216] $1,168 1094%
Nalc Health Benefit Plan [242] $1,168 1094%
Priority Health [648] $1,168 1094%
First Health Commercial [734] $1,263 1182%
Beechstreet [551] $1,275 1194%
Detego Health [868] $1,275 1194%
Health Systems Inc [620] $1,275 1194%
Healthcare Sol Mercy [609] $1,275 1194%
Multiplan Commercial [737] $1,275 1194%
Multiplan [240] $1,275 1194%
Phcs [244] $1,275 - $1,360 1194%
Preferred Health Professionals [561] $1,284 1202%
Hfn [563] $1,360 1273%
Medica [661] $1,360 1273%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 751 Sappington Bridge Rd, Sullivan, MO 63080
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals