CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Hillcrest Hospital South

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $528
Cash Discount Price: $368
vs. Medicare Baseline: 4.94x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Hillcrest Hospital South is $528. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $368. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.94x the Medicare baseline. Located in 8801 South 101St East Avenue, Tulsa, OK.

Cash / Self-Pay

$368

Average discount available for prompt cash payment at this facility.

Insurance Median

$528

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: $368 (345%)

Insurance Median: $528 (494%)

Cash: $368 (345% of Medicare)

Ins. Median: $528 (494% 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 494% of the Medicare baseline (a markup of 394%). 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
Healthcare Highways [2210]	$307 - $528	287%
Hooray Health [8000]	$307	287%
Oncology Patient Assistance Programs [2295]	$307	287%
Oscar Insurance Company [7005]	$307	287%
Osma Health Network [2345]	$307	287%
Healthscope Benefits [2290]	$434	406%
UnitedHealthcare	$434	406%
Cigna	$483	452%
National Association Of Letter Carriers [1695]	$483	452%
Pba [1775]	$483	452%
Resource One Administrators [2815]	$528	494%
Web Tpa [2115]	$528 - $539	494%
Aetna	$539	505%
Coresource [1315]	$539	505%
Coventry Healthcare [1320]	$539	505%
Meritain Health [1655]	$539	505%
The Kempton Group Administrators [2905]	$552	517%
Medica [2910]	$723	677%
Multiplan [1680]	$723	677%

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 $368.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Hillcrest Hospital South is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.