CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Howard County Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $270
  • Cash Discount Price: $735
  • vs. Medicare Baseline: 2.53x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Howard County Medical Center is $270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $735. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.53x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
$735

Average discount available for prompt cash payment at this facility.

Insurance Median
$270

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: $735 (688%)
Insurance Median: $270 (253%)
Cash: $735 (688% of Medicare)
Ins. Median: $270 (253% 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 253% of the Medicare baseline (a markup of 153%). 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
Medica Standard Premier $26 - $79 24%
Aetna $27 - $698 25%
Medica Elevate $50 - $155 47%
Midland'S Choice $53 - $163 50%
Humana $66 62%
Blue Cross Blue Shield $78 - $698 73%
Great Plains $78 - $419 73%
Medica Chi $78 - $419 73%
Tricare $78 - $551 73%
UnitedHealthcare $78 - $706 73%
Nebraska Total Care - Wellcare $80 75%
Molina Healthcare $82 - $368 77%
Oscar Health $136 127%
Ambetter / Centene $156 146%
Beshp $156 146%
Nebraska Total Care $368 345%
Medica Chi Aco $669 626%
Medica Choice National $669 626%
Medica Ifb Aco $706 661%
Medica Ifb Open Access $706 661%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals