CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mercy Hospital Watonga, Inc

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $329
  • Cash Discount Price: $382
  • vs. Medicare Baseline: 3.08x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mercy Hospital Watonga, Inc is $329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.08x the Medicare baseline. Located in 500 North Clarence Nash Boulevard, Watonga, OK.
Cash / Self-Pay
$382

Average discount available for prompt cash payment at this facility.

Insurance Median
$329

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: $382 (358%)
Insurance Median: $329 (308%)
Cash: $382 (358% of Medicare)
Ins. Median: $329 (308% 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 308% of the Medicare baseline (a markup of 208%). 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 $50 - $447 47%
Humana $50 - $225 47%
Medicaid / KanCare $50 - $176 47%
Ambetter / Centene $176 165%
Home State Health Plan Contracted [320187] $176 165%
Novasys Contracted [320285] $176 165%
Blue Cross Blue Shield $225 - $352 211%
Cherokee Nation Health Serv Contracted [320066] $225 211%
Cross Timbers Hospice [20098] $225 211%
Dept Of Veteran Affairs Contracted [320106] $225 211%
Elara Caring Aspire Hospice Contracted [320433] $225 211%
Elara Caring Aspire Hospice [20433] $225 211%
Halo Hcr Inc Hospice Contracted [320432] $225 211%
Halo Hcr Inc Hospice [20432] $225 211%
Independent Health [20197] $225 211%
Indian Health Service Contracted [320198] $225 211%
Kindful Hospice Contracted [320434] $225 211%
Kindful Hospice [20434] $225 211%
Medical Associates Health [20444] $225 211%
Medicare (plans) $225 - $329 211%
Mercy Hospice Okc [20252] $225 211%
Provider Partners Health Plans Contracted [320450] $225 211%
Qual Choice Contracted [320325] $225 211%
Tribute Health Plan Mcr Contracted [320338] $225 211%
Tricare $225 211%
UnitedHealthcare $225 - $465 211%
Globalhealth Contracted [320145] $229 214%
Cigna $231 - $499 216%
Health Choice Contracted [320166] $239 224%
Webtpa Contracted [320417] $247 231%
Medica Contracted [320239] $329 308%
Aither Health Contracted [320449] $352 - $499 330%
Mercy Benefit Admin Contracted [320251] $352 - $499 330%
Quik Trip Contracted [320447] $352 330%
Show-Me Health Administrators Contracted [320483] $352 330%
Benefit Management Contracted [320052] $382 - $440 358%
Healthsmart Accel Contracted [320183] $411 385%
Osma Health Contracted [320292] $411 385%
Healthcare Highways Plus Contracted [320175] $440 412%
Preferred Community Choice Contracted [320311] $440 412%
Private Health Care Systems Contracted [320320] $440 - $470 412%
United Medical Resources Contracted [320454] $465 435%
Multiplan Contracted [320270] $470 - $528 440%
First Health Contracted [320128] $476 446%
Auxiant Contracted [320462] $499 467%
Ebms Contracted [320493] $499 467%
Healthlink Contracted [320179] $499 467%
Healthsmart Preferred Care Contracted [320184] $499 467%
Imagine 360 Contracted [320494] $499 467%
Reflect Health Contracted [320492] $499 467%
Yuzu Health Contracted [320521] $499 467%

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