CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Intermountain Health St Vincent Regional Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $235
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Intermountain Health St Vincent Regional Hospital is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.20x the Medicare baseline. Located in 1233 N 30Th St, Billings, MT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$235

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%)
Insurance Median: $235 (220%)
Ins. Median: $235 (220% 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 220% of the Medicare baseline (a markup of 120%). 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
Medicare (plans) $106 99%
UnitedHealthcare $108 - $289 101%
Exchange Other $147 - $206 138%
Mt Health Co-Op $147 - $206 138%
First Choice Health $162 - $280 152%
Other $162 - $280 152%
Ebms-Employee Benefit Mng $179 - $270 168%
Blue Cross Blue Shield $182 - $263 170%
Allegiance $186 - $292 174%
Cigna $186 - $282 174%
Meritain Health $186 - $235 174%
Aetna $200 187%
Pacificsource $202 - $285 189%
Sibanye Stillwater Health Partners $202 189%
Coastal Administrative Services $213 199%
Pacific Steel And Recycling $266 249%
Preferred One $270 - $292 253%
Interwest $282 264%
Private Hlthcare Sys $285 267%
Geha $289 271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1233 N 30Th St, Billings, MT 59107
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals