CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Pioneer Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $982
  • Cash Discount Price: $827
  • vs. Medicare Baseline: 9.19x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Pioneer Medical Center is $982. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $827. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.19x the Medicare baseline. Located in 301 W 7Th Ave, Big Timber, MT.
Cash / Self-Pay
$827

Average discount available for prompt cash payment at this facility.

Insurance Median
$982

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: $827 (774%)
Insurance Median: $982 (919%)
Cash: $827 (774% of Medicare)
Ins. Median: $982 (919% 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 919% of the Medicare baseline (a markup of 819%). 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
Blue Cross Blue Shield $465 - $858 435%
Health Info Net Mcr Adv $465 435%
Healtnet Federal-All Plans $465 435%
Humana $465 - $951 435%
Triwest Va Pccc-All Plans $465 435%
UnitedHealthcare $465 - $982 435%
Rocky Mountain Health Network-All Plans $724 678%
Allegiance Provider-All Plans $879 823%
Mountain Health Co-Op Hpn $910 852%
6 Degrees Health-All Plans $982 919%
Americas Choice-All Plans $982 919%
City Of Billings-All Plans $982 919%
Community Health Ntwk-All Plans $982 919%
Ebms Select Care Network-All Plans $982 919%
Fedmed Network-All Plans $982 919%
First Choice Big Sky-All Plans $982 919%
First Health-All Plans $982 919%
Interwest Ppo $982 919%
Mountain Health Co-Op-All Other Plans $982 919%
Pacific Source-All Plans $982 919%
Pacific Steel & Recycling-All Plans $982 919%
Three Rivers-All Plans $982 919%
Health Info Net Peak/Equity $1,003 939%
Health Info Net Standard-All Other Plans $1,003 939%
Mountain Health Co-Op Ppo/Pos $1,013 948%
Interwest Health Traditional-All Other Plans $1,034 968%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W 7Th Ave, Big Timber, MT 59011
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals