CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mercy Rehabilitation Hospital South

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $372
  • Cash Discount Price: $372
  • vs. Medicare Baseline: 3.48x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mercy Rehabilitation Hospital South is $372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $372. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.48x the Medicare baseline. Located in 10114 Kennerly Rd, Saint Louis, MO.
Cash / Self-Pay
$372

Average discount available for prompt cash payment at this facility.

Insurance Median
$372

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: $372 (348%)
Insurance Median: $372 (348%)
Cash: $372 (348% of Medicare)
Ins. Median: $372 (348% 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 348% of the Medicare baseline (a markup of 248%). 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
Aetna $372 348%
Ambetter / Centene $372 348%
Blue Cross Blue Shield $372 348%
Cigna $372 348%
Devoted Health $372 348%
Essence $372 348%
Healthlink Hmo $372 348%
Healthlink Ppo $372 348%
Healthy Blue (Missouri Care) $372 348%
Homestate Health Plan $372 348%
Humana $372 348%
Medica $372 348%
Medicaid / KanCare $372 348%
Meritain Health Cpd $372 348%
Meritain Health Ppo Cpd $372 348%
Starmark Cpd $372 348%
Tricare $372 348%
UnitedHealthcare $372 348%
Wellcare $372 348%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10114 Kennerly Rd, Saint Louis, MO 63128
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL