CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Merit Health River Oaks

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $94
  • Cash Discount Price: $314
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Merit Health River Oaks is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.88x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$314

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $314 (294%)
Insurance Median: $94 (88%)
Cash: $314 (294% of Medicare)
Ins. Median: $94 (88% 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
Cigna $10 - $679 9%
Self Pay $11 - $750 10%
UnitedHealthcare $14 - $911 13%
Trimed Billing Solutions $16 - $1,023 15%
Ms State Hospital Of Whitfield Ms $20 - $1,296 19%
First Choice Standard $24 - $1,569 22%
First Choice Coventry $27 - $1,774 25%
First Choice Mpcn Standard $29 - $1,876 27%
First Choice Ppo Plus $29 - $1,876 27%
Phcs $31 - $2,047 29%
Aetna $36 - $2,388 34%
Benefit Administration Services $37 - $2,899 35%
Benefit Management Systems $37 - $2,899 35%
Citizens State Bank Inc $37 - $2,899 35%
First Choice Stratose $42 - $2,729 39%
Prime Health Services $42 - $2,729 39%
American Health Group $44 - $2,899 41%
Beech Street $44 - $2,899 41%
Formost $44 - $2,899 41%
Usa Mco $44 - $2,899 41%
One Health Plan $47 - $3,070 44%
Ms Dept Of Rehabilitation Services $52 - $3,411 49%
Veterans Eval Services $52 - $91 49%
Medicaid / KanCare $81 - $520 76%
Magnolia Mcd Chip $82 77%
Caresource Truecare $83 78%
Molina Chip $88 82%
Tricare $90 84%
Humana $93 87%
Medicare (plans) $93 87%
Node First Choice Shared Health Of Ms Mcr Adv $93 87%
Node Vantage Health Mcr Adv $93 87%
Node Champva $94 88%
Node Hospice Non Par Agree $94 88%
Node Va $94 88%
Molina $95 89%
Node Devoted Health Mcr Adv $95 89%
Node First Choice American Health Mcr Adv $95 89%
Node First Choice Wellcare Mcr Adv $96 90%
Node Healthy Mississippi Mcr Adv $104 97%
Ms Work Comp $114 107%
Prime Health Wc $114 107%
Node Us Dept Of Labor $118 110%
First Choice Preferred $142 133%
Node First Choice Occunet $142 133%
Node First Choice Seven Corners $160 150%
Magnolia Exchange $165 154%
Molina Exchange $171 160%
First Choice Lgp $206 193%
Vantage Health Commercial $212 198%
Advanced Health Systems $242 227%
Blue Cross Blue Shield $355 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals