CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Sanford Medical Center Fargo

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $544
  • Cash Discount Price: $906
  • vs. Medicare Baseline: 5.09x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Sanford Medical Center Fargo is $544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $906. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.09x the Medicare baseline. Located in 801 Broadway North, Fargo, ND.
Cash / Self-Pay
$906

Average discount available for prompt cash payment at this facility.

Insurance Median
$544

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: $906 (848%)
Insurance Median: $544 (509%)
Cash: $906 (848% of Medicare)
Ins. Median: $544 (509% 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 509% of the Medicare baseline (a markup of 409%). 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 $80 - $194 75%
Sanford Health Plan Align $101 95%
Ucare $108 - $796 101%
Aetna $110 - $968 103%
Health Partners $110 - $464 103%
Medicare (plans) $110 103%
UnitedHealthcare $110 - $986 103%
Primewest $112 - $115 105%
Sanford Health Plan $116 109%
Medica $509 - $544 477%
Security Health Plan $623 583%
Cigna $1,019 954%
First Choice Health Network $1,019 954%
Healthez $1,019 954%
Multiplan $1,019 954%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 801 Broadway North, Fargo, ND 58122
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals