CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $425
  • Cash Discount Price: $493
  • vs. Medicare Baseline: 3.98x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercy Hospital Watonga, Inc is $425. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $493. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.98x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.
Cash / Self-Pay
$493

Average discount available for prompt cash payment at this facility.

Insurance Median
$425

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: $493 (462%)
Insurance Median: $425 (398%)
Cash: $493 (462% of Medicare)
Ins. Median: $425 (398% 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 398% of the Medicare baseline (a markup of 298%). 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
Aetna $65 - $578 61%
Humana $65 - $290 61%
Medicaid / KanCare $65 - $228 61%
Ambetter / Centene $228 213%
Home State Health Plan Contracted [320187] $228 213%
Novasys Contracted [320285] $228 213%
Health Choice Contracted [320166] $239 224%
Blue Cross Blue Shield $290 - $455 272%
Cherokee Nation Health Serv Contracted [320066] $290 272%
Cross Timbers Hospice [20098] $290 272%
Dept Of Veteran Affairs Contracted [320106] $290 272%
Elara Caring Aspire Hospice Contracted [320433] $290 272%
Elara Caring Aspire Hospice [20433] $290 272%
Halo Hcr Inc Hospice Contracted [320432] $290 272%
Halo Hcr Inc Hospice [20432] $290 272%
Independent Health [20197] $290 272%
Indian Health Service Contracted [320198] $290 272%
Kindful Hospice Contracted [320434] $290 272%
Kindful Hospice [20434] $290 272%
Medical Associates Health [20444] $290 272%
Medicare (plans) $290 - $425 272%
Mercy Hospice Okc [20252] $290 272%
Provider Partners Health Plans Contracted [320450] $290 272%
Qual Choice Contracted [320325] $290 272%
Tribute Health Plan Mcr Contracted [320338] $290 272%
Tricare $290 272%
UnitedHealthcare $290 - $601 272%
Globalhealth Contracted [320145] $296 277%
Cigna $299 - $645 280%
Webtpa Contracted [320417] $319 299%
Medica Contracted [320239] $425 398%
Aither Health Contracted [320449] $455 - $645 426%
Mercy Benefit Admin Contracted [320251] $455 - $645 426%
Quik Trip Contracted [320447] $455 426%
Show-Me Health Administrators Contracted [320483] $455 426%
Benefit Management Contracted [320052] $493 - $569 462%
Healthsmart Accel Contracted [320183] $531 497%
Osma Health Contracted [320292] $531 497%
Healthcare Highways Plus Contracted [320175] $569 533%
Preferred Community Choice Contracted [320311] $569 533%
Private Health Care Systems Contracted [320320] $569 - $607 533%
United Medical Resources Contracted [320454] $601 563%
Multiplan Contracted [320270] $607 - $683 568%
First Health Contracted [320128] $616 577%
Auxiant Contracted [320462] $645 604%
Ebms Contracted [320493] $645 604%
Healthlink Contracted [320179] $645 604%
Healthsmart Preferred Care Contracted [320184] $645 604%
Imagine 360 Contracted [320494] $645 604%
Reflect Health Contracted [320492] $645 604%
Yuzu Health Contracted [320521] $645 604%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 North Clarence Nash Boulevard, Watonga, OK 73772
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals