CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Rehoboth McKinley Christian Health Care Services

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $986
  • Cash Discount Price: $359
  • vs. Medicare Baseline: 9.23x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Rehoboth McKinley Christian Health Care Services is $986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $359. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.23x the Medicare baseline. Located in 1901 Red Rock Drive, Gallup, NM.
Cash / Self-Pay
$359

Average discount available for prompt cash payment at this facility.

Insurance Median
$986

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: $359 (336%)
Insurance Median: $986 (923%)
Cash: $359 (336% of Medicare)
Ins. Median: $986 (923% 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 923% of the Medicare baseline (a markup of 823%). 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
Medicare (plans) $282 - $293 264%
Triwest $282 - $293 264%
Usa $310 - $322 290%
Coventry $507 - $527 475%
UnitedHealthcare $880 - $914 824%
Health West $938 - $975 878%
Three Rivers $938 - $975 878%
Blue Cross Blue Shield $997 - $1,036 933%
Integrated Health $997 - $1,036 933%
Humana $1,056 - $1,097 989%
Multiplan $1,056 - $1,097 989%
Cigna $1,091 - $1,134 1021%
Presbyterian $1,091 - $1,134 1021%
Associated Plan Administrators $1,114 - $1,158 1043%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 Red Rock Drive, Gallup, NM 87301
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals