CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Merit Health Wesley

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $139
  • Cash Discount Price: $750
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Merit Health Wesley is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $750. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.30x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$750

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $750 (702%)
Insurance Median: $139 (130%)
Cash: $750 (702% of Medicare)
Ins. Median: $139 (130% 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 $50 - $449 47%
Magnolia $81 - $91 76%
UnitedHealthcare $81 - $330 76%
Magnolia Mcd Ms Chip $82 77%
Caresource Truecare $83 78%
Molina Chip $88 82%
Tricare $90 84%
First Choice $91 - $2,354 85%
Humana $91 85%
Medicare (plans) $91 85%
Node Vantage Mcr Adv $91 85%
Veterans Eval Services $91 85%
Molina $93 87%
Node Devoted Health Mcr Adv $93 87%
Node First Choice American Health Mcr Adv $93 87%
Node Hospice Non Par Agree $93 87%
Node Va $93 87%
Aetna $94 - $1,227 88%
Node Champva $94 88%
Node First Choice Wellcare Mcr Adv $95 89%
Node Healthy Mississippi Mcr Adv $102 95%
Ms Work Comp $114 107%
Node Us Dept Of Labor $116 109%
First Choice Molina $158 148%
Magnolia Exchange $162 152%
Molina Exchange $169 158%
First Choice Lgp $202 189%
Vantage Health $209 196%
Advanced Health Systems $242 227%
Blue Cross Blue Shield $312 292%
Chs Group Health Plan $589 551%
Self Pay $618 - $883 579%
Cigna $830 777%
Trimed Billing Solutions $883 827%
Benefit Management Services $1,913 1791%
Coventry First Health $2,207 2066%
Ms Dept Of Rehabilitation Services $2,943 2755%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals