CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $360
  • Cash Discount Price: $620
  • vs. Medicare Baseline: 3.37x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Ohiohealth Morrow County Hospital is $360. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $620. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.37x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$620

Average discount available for prompt cash payment at this facility.

Insurance Median
$360

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: $620 (580%)
Insurance Median: $360 (337%)
Cash: $620 (580% of Medicare)
Ins. Median: $360 (337% 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 337% of the Medicare baseline (a markup of 237%). 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 $120 - $122 112%
UnitedHealthcare $120 - $781 112%
Blue Cross Blue Shield $121 - $736 113%
Amerihealth Caritas - All Plans $124 116%
Humana $124 - $887 116%
Molina Exchange - All Other Plans $198 185%
Medicare (plans) $353 - $360 330%
Aetna $360 - $820 337%
Caresource Marketplace - All Other Plans $441 413%
Medical Mutual Of Ohio Marketplace $715 669%
Ohiohealthy Network - All Other Plans $715 669%
Ohiohealthy Preferred $715 669%
Medical Mutual Of Ohio Comm - All Other Plans $773 724%
Medical Mutual Of Ohio - Admin Serv $811 759%
Phcs - All Plans $878 822%
Cigna $897 840%
Multiplan - All Plans $906 848%
Healthstar Comm - All Plans $916 858%
Beech Street - All Plans $925 866%

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