CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $417
  • Cash Discount Price: $719
  • vs. Medicare Baseline: 3.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Ohiohealth Morrow County Hospital is $417. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $719. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.90x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$719

Average discount available for prompt cash payment at this facility.

Insurance Median
$417

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: $719 (673%)
Insurance Median: $417 (390%)
Cash: $719 (673% of Medicare)
Ins. Median: $417 (390% 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 390% of the Medicare baseline (a markup of 290%). 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
Medicaid / KanCare $185 - $188 173%
UnitedHealthcare $185 - $906 173%
Blue Cross Blue Shield $186 - $854 174%
Amerihealth Caritas - All Plans $190 178%
Humana $190 - $1,029 178%
Molina Exchange - All Other Plans $305 286%
Medicare (plans) $409 - $418 383%
Aetna $417 - $952 390%
Caresource Marketplace - All Other Plans $512 479%
Medical Mutual Of Ohio Marketplace $830 777%
Ohiohealthy Network - All Other Plans $830 777%
Ohiohealthy Preferred $830 777%
Medical Mutual Of Ohio Comm - All Other Plans $896 839%
Medical Mutual Of Ohio - Admin Serv $940 880%
Phcs - All Plans $1,018 953%
Cigna $1,040 974%
Multiplan - All Plans $1,051 984%
Healthstar Comm - All Plans $1,062 994%
Beech Street - All Plans $1,073 1005%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals