CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Memorial Health Care Systems

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $449
  • Cash Discount Price: $772
  • vs. Medicare Baseline: 4.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Memorial Health Care Systems is $449. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.20x the Medicare baseline. Located in 300 North Columbia Ave, Seward, NE.
Cash / Self-Pay
$772

Average discount available for prompt cash payment at this facility.

Insurance Median
$449

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: $772 (723%)
Insurance Median: $449 (420%)
Cash: $772 (723% of Medicare)
Ins. Median: $449 (420% 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 420% of the Medicare baseline (a markup of 320%). 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
Molina Mcaid-All Plans $417 390%
Ne Total Care Mcaid-All Plans $417 390%
UnitedHealthcare $417 - $726 390%
Beshp Mcr Adv - All Plans $440 412%
Blue Cross Blue Shield $440 - $733 412%
Medica Mcare Cost $440 412%
Medica Mcr Adv $440 412%
Tricare $440 412%
Wellcare Mcr Adv - All Plans $449 420%
Phcs Ppo-All Plans $733 686%
Ambetter / Centene $741 694%
Medica Comm-All Other Plans $741 694%
Medica Elevate $741 694%
Midlands Choice-All Plans $749 701%
Aetna $757 709%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 North Columbia Ave, Seward, NE 68434
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals