CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Uh St John Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $483
  • Cash Discount Price: $724
  • vs. Medicare Baseline: 4.52x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Uh St John Medical Center is $483. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $724. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.52x the Medicare baseline. Located in 29000 Center Ridge Road, Westlake, OH.
Cash / Self-Pay
$724

Average discount available for prompt cash payment at this facility.

Insurance Median
$483

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: $724 (678%)
Insurance Median: $483 (452%)
Cash: $724 (678% of Medicare)
Ins. Median: $483 (452% 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 452% of the Medicare baseline (a markup of 352%). 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
Aetna $99 - $175 93%
Blue Cross Blue Shield $99 - $544 93%
Cigna $99 - $540 93%
Devoted Health $99 93%
Humana $99 93%
Molina $99 93%
Primetime Health Plan $99 93%
Summacare $99 - $492 93%
The Health Plan $99 - $637 93%
UnitedHealthcare $99 - $493 93%
Wellcare By Allwell $99 93%
Paramount $102 95%
Perennial Advantage Of Ohio $104 97%
Valor Health Plans $104 97%
University Health Employee Plan (Contigo) $161 151%
Ambetter / Centene $177 166%
Caresource $177 166%
Medical Mutual Of Ohio $262 - $408 245%
Amish Aid Community Plan $415 - $444 389%
Amish Church Fund And Workers Aid Plan $415 - $444 389%
Buckeye Plain Ministries $415 - $444 389%
Jp Farley $454 425%
Clarity $463 433%
Christian Healthcare Ministries $482 451%
Immergrun $482 451%
Sunrise Plan Communities $482 451%
Aultcare $531 497%
Healthsmart $627 587%
Ohio Health Choice $627 - $868 587%
Medical Mutual Traditional/Health Ohio $676 633%
Beech Street $772 - $868 723%
Ohio Preferred Network $772 - $868 723%
First Health $801 750%
Century Health Network $820 768%
Private Healthcare System $830 777%
Configurenet $868 813%
Fortified Provider Network $868 813%
Multiplan $868 813%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 29000 Center Ridge Road, Westlake, OH 44145
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals