CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: PAM Health Specialty Hospital of Reno

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,031
Cash Discount Price: $1,351
vs. Medicare Baseline: 9.65x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at PAM Health Specialty Hospital of Reno is $1,031. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,351. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.65x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.

Cash / Self-Pay

$1,351

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,031

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: $1,351 (1265%)

Insurance Median: $1,031 (965%)

Cash: $1,351 (1265% of Medicare)

Ins. Median: $1,031 (965% 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 965% of the Medicare baseline (a markup of 865%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
America'S Choice	$796 - $1,096	745%
Provider Network Of Amercia	$853 - $1,174	799%
Quik Trip	$853 - $1,174	799%
Usa Managed Care Organization	$853 - $1,174	799%
Velocity Provider Ppo Network	$853 - $1,174	799%
Healthsmart	$887 - $1,221	830%
Evolutions Healthcare System	$910 - $1,252	852%
Multiplan	$910 - $1,252	852%
Beech Street	$966 - $1,331	904%
Galaxy Health Network	$966 - $1,331	904%
Prime Health Services	$966 - $1,331	904%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,351.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm PAM Health Specialty Hospital of Reno is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.