CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Galion Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $981
Cash Discount Price: $1,085
vs. Medicare Baseline: 9.18x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Galion Community Hospital is $981. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,085. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.18x the Medicare baseline. Located in 269 Portland Way South, Galion, OH.

Cash / Self-Pay

$1,085

Average discount available for prompt cash payment at this facility.

Insurance Median

$981

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: $1,085 (1016%)

Insurance Median: $981 (918%)

Cash: $1,085 (1016% of Medicare)

Ins. Median: $981 (918% 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 918% of the Medicare baseline (a markup of 818%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Caresource	$254	238%
Medicaid / KanCare	$254	238%
Ohiorise	$254	238%
Molina	$259 - $5,629	242%
Blue Cross Blue Shield	$261 - $4,142	244%
Amerihealth	$266	249%
United_Healthcare	$266 - $4,142	249%
Buckeye	$274 - $4,142	257%
Humana	$274 - $4,142	257%
Medicare (plans)	$434 - $4,142	406%
Mount_Carmel	$434 - $4,142	406%
Aetna	$443 - $4,224	415%
Medical_Mutual	$1,022 - $4,224	957%
Cigna	$1,124	1052%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,085.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Galion Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.