CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Union Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $98
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Union Hospital is $98. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.92x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$98

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: $441 (413%)
Insurance Median: $98 (92%)
Cash: $441 (413% of Medicare)
Ins. Median: $98 (92% 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.

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
Summacare $17 - $653 16%
Aetna $26 - $933 24%
Blue Cross Blue Shield $26 - $362 24%
Cigna $26 - $306 24%
Humana $26 - $98 24%
The Health Plan $26 - $584 24%
United $26 - $335 24%
Valor $26 - $98 24%
Mmo $27 - $653 25%
Aultcare $28 - $306 26%
Communicare $28 - $103 26%
Perennial Health $28 - $106 26%
Pphp $28 - $108 26%
Cc Ehp $29 - $507 27%
Zing Health $29 - $108 27%
Buckeye $64 - $86 60%
Molina $64 - $90 60%
Caresource $67 - $86 63%
Oscar $68 - $261 64%
Amerihealth $70 - $94 66%
UnitedHealthcare $95 - $98 89%
Devoted Health $98 92%
Upmc $98 - $560 92%
Ohcp $99 - $363 93%
Omas $127 - $466 119%
Healthsmart $140 - $513 131%
Phphi $152 - $560 142%
Gms $178 - $653 167%
Consociate Health $190 - $700 178%
Multiplan $229 - $840 214%
Amish Community Aid Plan $306 - $340 286%
Ohio Healthy $367 344%
Php $407 381%
Medical Benefit Corp $475 445%
Frontpath $611 572%
Managed Care Services $611 572%
Tertiary Care Network $611 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals