CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Central Montana Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $254
  • Cash Discount Price: $319
  • vs. Medicare Baseline: 2.38x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Central Montana Medical Center is $254. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $319. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.38x the Medicare baseline. Located in 408 Wendell Ave, Lewistown, MT.
Cash / Self-Pay
$319

Average discount available for prompt cash payment at this facility.

Insurance Median
$254

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: $319 (299%)
Insurance Median: $254 (238%)
Cash: $319 (299% of Medicare)
Ins. Median: $254 (238% 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 238% of the Medicare baseline (a markup of 138%). 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 $27 - $586 25%
Humana $27 - $352 25%
Triwest - All Plans $27 - $345 25%
Veterans Affairs - All Plans $27 - $345 25%
Montana Health Co-Op - All Plans $45 - $632 42%
Allegiance Comm - All Other Plans $47 - $625 44%
Allegiance Rbphp $47 - $1,179 44%
Health Infonet - All Plans $48 - $625 45%
Ebms - All Plans $50 - $619 47%
Coventry/First Health - All Plans $606 567%
UnitedHealthcare $606 567%
Interwest Ppo $638 597%
Pacific Source Hp - All Plans $638 597%
Interwest Trad - All Other Plans $651 609%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 408 Wendell Ave, Lewistown, MT 59457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals