CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Fisher-Titus Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $450
  • Cash Discount Price: $581
  • vs. Medicare Baseline: 4.21x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Fisher-Titus Hospital is $450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $581. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.21x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.
Cash / Self-Pay
$581

Average discount available for prompt cash payment at this facility.

Insurance Median
$450

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: $581 (544%)
Insurance Median: $450 (421%)
Cash: $581 (544% of Medicare)
Ins. Median: $450 (421% 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 421% of the Medicare baseline (a markup of 321%). 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 $26 - $105 24%
UnitedHealthcare $26 - $587 24%
Sidecar $27 - $448 25%
Blue Cross Blue Shield $60 - $587 56%
Caresource $60 - $100 56%
Amerihealth $62 58%
Buckeye $62 - $100 58%
Molina $62 58%
Aetna $100 - $561 94%
Medical Mutual Of Ohio $100 - $375 94%
Paramount $100 - $580 94%
Summacare $100 - $568 94%
Wellcare $100 94%
Zing Health $100 94%
Valor Health $103 96%
Health Ohio Network $452 423%
Tricare $484 - $516 453%
Cigna $516 483%
Claimsdoc $516 483%
First Health $580 543%
Multiplan $580 543%
Ohio Health Choice $580 543%
Healthscope $587 550%
Emerald Health $626 586%

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