CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Oklahoma Heart Hospital South, LLC

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $223
Cash Discount Price: $170
vs. Medicare Baseline: 2.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Oklahoma Heart Hospital South, LLC is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.09x the Medicare baseline. Located in 5200 East I-240 Service Road, Oklahoma City, OK.

Cash / Self-Pay

$170

Average discount available for prompt cash payment at this facility.

Insurance Median

$223

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: $170 (159%)

Insurance Median: $223 (209%)

Cash: $170 (159% of Medicare)

Ins. Median: $223 (209% 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 209% of the Medicare baseline (a markup of 109%). 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
Aetna	$48 - $101	45%
Humana	$48 - $335	45%
Cigna	$82 - $101	77%
Coventry	$89	83%
Blue Cross Blue Shield	$101 - $292	95%
Medicare (plans)	$101 - $104	95%
UnitedHealthcare	$101 - $107	95%
Va Ccn	$101	95%
Geha	$107	100%
Healthcare Highways	$121 - $291	113%
Ambetter / Centene	$141	132%
Community Care	$201 - $339	188%
Healthscope	$223	209%
Oscar Insurance Company	$223	209%
Webtpa Chickasaw Nation Hch	$228	213%
The Kempton Group	$251	235%
Webtpa Hobby Lobby Hch	$257	241%
Global Health	$306	286%
Sana Benefits	$315	295%
Ufcw	$315	295%
First Health Network	$335	314%
Manhattan Life	$335	314%
Phcs	$339	317%
Preferred Community Choice	$369	345%
Multiplan	$436	408%

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 $170.
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 Oklahoma Heart Hospital South, LLC 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.