CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Hillcrest Hospital Henryetta

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $876
Cash Discount Price: $479
vs. Medicare Baseline: 8.20x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Hillcrest Hospital Henryetta is $876. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $479. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.20x the Medicare baseline. Located in 2401 W Main, Henryetta, OK.

Cash / Self-Pay

$479

Average discount available for prompt cash payment at this facility.

Insurance Median

$876

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: $479 (448%)

Insurance Median: $876 (820%)

Cash: $479 (448% of Medicare)

Ins. Median: $876 (820% 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 820% of the Medicare baseline (a markup of 720%). 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
Black Lung [6055]	$400	374%
Lucent Health [6000]	$400	374%
Aetna	$702	657%
Coresource [1315]	$702	657%
Coventry Healthcare [1320]	$702	657%
Meritain Health [1655]	$702	657%
Cigna	$876	820%
Healthpartners [1500]	$876	820%
National Association Of Letter Carriers [1695]	$876	820%
Pba [1775]	$876	820%
Global Health [1430]	$991	928%
First Health [1375]	$1,083	1014%
Multiplan [1680]	$1,083	1014%
Healthcare Solutions [1485]	$1,135	1063%
Healthsmart [1505]	$1,358	1271%
Pending Ssi [1616]	$1,598	1496%

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 $479.
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 Hillcrest Hospital Henryetta 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.