CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Okeene Municipal Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $293
Cash Discount Price: $348
vs. Medicare Baseline: 2.74x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Okeene Municipal Hospital is $293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.74x the Medicare baseline. Located in 207 East F Street, Okeene, OK.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$293

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: $348 (326%)

Insurance Median: $293 (274%)

Cash: $348 (326% of Medicare)

Ins. Median: $293 (274% 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 274% of the Medicare baseline (a markup of 174%). 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
Pref Community Choice Ppo-All Plans	$65	61%
Blue Cross Blue Shield	$171 - $281	160%
Coventry Mcr Adv	$248	232%
Global Health Mcr Adv	$248	232%
Humana	$248 - $435	232%
Medicare (plans)	$248	232%
UnitedHealthcare	$248 - $309	232%
Cigna	$266	249%
Ihs-All Plans	$282	264%
Ok Complete Health Comm-All Other Plans	$302	283%
Healthchoice Ip Only-All Plans	$304	285%
Global Health-All Other Plans	$322	301%
Aetna	$326 - $435	305%
Healthcare Highways-All Plans	$326	305%
Phcs Savility/Multiplan - All Plans	$326	305%
Medica Commercial-All Other Plans	$335	314%
Community Care Hmo-All Plans	$392	367%
Ok Complete Health Mcaid	$435	407%

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 $348.
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 Okeene Municipal Hospital 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.