CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Fisher-Titus Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $767
  • Cash Discount Price: $990
  • vs. Medicare Baseline: 7.18x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Fisher-Titus Hospital is $767. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $990. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.18x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.
Cash / Self-Pay
$990

Average discount available for prompt cash payment at this facility.

Insurance Median
$767

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: $990 (927%)
Insurance Median: $767 (718%)
Cash: $990 (927% of Medicare)
Ins. Median: $767 (718% 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 718% of the Medicare baseline (a markup of 618%). 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
Perennial Advantage $36 - $105 34%
UnitedHealthcare $36 - $1,001 34%
Sidecar $37 - $763 35%
Blue Cross Blue Shield $93 - $1,001 87%
Caresource $93 - $100 87%
Amerihealth $95 89%
Buckeye $95 - $100 89%
Molina $95 89%
Aetna $100 - $957 94%
Medical Mutual Of Ohio $100 - $639 94%
Paramount $100 - $990 94%
Summacare $100 - $968 94%
Wellcare $100 94%
Zing Health $100 94%
Valor Health $103 96%
Health Ohio Network $770 721%
Tricare $825 - $880 772%
Cigna $880 824%
Claimsdoc $880 824%
First Health $990 927%
Multiplan $990 927%
Ohio Health Choice $990 927%
Healthscope $1,001 937%
Emerald Health $1,067 999%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 272 Benedict Avenue, Norwalk, OH 44857
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals