CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Southwest General Health Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $127
  • Cash Discount Price: $722
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Southwest General Health Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $722. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.19x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$722

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $722 (676%)
Insurance Median: $127 (119%)
Cash: $722 (676% of Medicare)
Ins. Median: $127 (119% 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
Medical Mutual $42 - $46 39%
Medical Mutual-Ohio $42 - $113 39%
Buckeye $64 - $133 60%
Caresource $64 - $127 60%
Humana $64 - $375 60%
Molina $64 - $133 60%
UnitedHealthcare $64 - $519 60%
Amerihealth Caritas $67 - $127 63%
Blue Cross Blue Shield $113 - $150 106%
Valor Health $113 106%
Healthsmart $308 288%
Health Design Plus $356 333%
Clarity Health $385 360%
Healthspan $385 360%
Healthsmart Preferred $433 405%
Ohio Health Choice Plus $466 436%
Summacare $519 486%
Aetna $520 487%
Cigna $526 492%
Coventry $664 622%
First Health $664 622%
Ohio Health Choice $744 697%
Private Healthare Systems $770 721%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals