CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sheridan Memorial Hosptial

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $914
Cash Discount Price: $499
vs. Medicare Baseline: 8.56x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sheridan Memorial Hosptial is $914. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $499. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.56x the Medicare baseline. Located in 440 W Laurel Ave, Plentywood, MT.

Cash / Self-Pay

$499

Average discount available for prompt cash payment at this facility.

Insurance Median

$914

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: $499 (467%)

Insurance Median: $914 (856%)

Cash: $499 (467% of Medicare)

Ins. Median: $914 (856% 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 856% of the Medicare baseline (a markup of 756%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Pacific Source - All Plans	$47 - $974	44%
Montana Health Cooperative - All Plans	$48 - $974	45%
Interwest Ppo - All Other Plans	$55 - $974	51%
Interwest Trad	$55 - $974	51%
First Choice Health Network - All Plans	$94 - $904	88%
Three Rivers Network - All Plans	$100 - $954	94%
Aetna	$924	865%
Ebms - All Plans	$954	893%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $499.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sheridan Memorial Hosptial is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.