CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Community Hospital, LLC

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $343
  • Cash Discount Price: $302
  • vs. Medicare Baseline: 3.21x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Community Hospital, LLC is $343. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $302. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.21x the Medicare baseline. Located in 3100 Southwest 89Th Street, Oklahoma City, OK.
Cash / Self-Pay
$302

Average discount available for prompt cash payment at this facility.

Insurance Median
$343

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: $302 (283%)
Insurance Median: $343 (321%)
Cash: $302 (283% of Medicare)
Ins. Median: $343 (321% 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 321% of the Medicare baseline (a markup of 221%). 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
UnitedHealthcare $157 147%
Blue Cross Blue Shield $170 159%
Healthchoice $213 199%
Aetna $233 - $539 218%
Cigna $384 360%
First Health $629 589%
Medica $874 818%
Global Health $1,044 977%
Community Care $1,214 1137%
Healthcare Highways $1,214 1137%
Humana $1,457 1364%
Phcs $1,700 1592%
Preferred Community Choice $1,700 1592%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Southwest 89Th Street, Oklahoma City, OK 73159
  • CMS Rating: ★★★★☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals