CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: PAM Rehabilitation Hospital of Fargo

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,085
  • Cash Discount Price: $1,497
  • vs. Medicare Baseline: 10.16x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at PAM Rehabilitation Hospital of Fargo is $1,085. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,497. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.16x the Medicare baseline. Located in 4671 38Th St S, Fargo, ND.
Cash / Self-Pay
$1,497

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,085

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: $1,497 (1402%)
Insurance Median: $1,085 (1016%)
Cash: $1,497 (1402% of Medicare)
Ins. Median: $1,085 (1016% 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 1016% of the Medicare baseline (a markup of 916%). 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 $87 81%
Primewest Minnesota $87 81%
Ucare Of Minnesota $87 81%
Medica $317 - $635 297%
Sanford Health Plan $696 652%
Cigna $898 - $1,048 841%
Ilumed Aco Reach $973 911%
Americas Choice Provider Network $1,048 981%
Provider Network Of America $1,123 1051%
Quik Trip $1,123 1051%
Usa Managed Care Organization $1,123 1051%
Velocity Provider Ppo Network $1,123 1051%
Multiplan/Phcs $1,198 1122%
Prime Health Services $1,272 1191%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4671 38Th St S, Fargo, ND 58104
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL