CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Carnegie Tri-County Municipal Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $205
  • Cash Discount Price: $138
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Carnegie Tri-County Municipal Hospital is $205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $138. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.92x the Medicare baseline. Located in 102 North Broadway, Carnegie, OK.
Cash / Self-Pay
$138

Average discount available for prompt cash payment at this facility.

Insurance Median
$205

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: $138 (129%)
Insurance Median: $205 (192%)
Cash: $138 (129% of Medicare)
Ins. Median: $205 (192% 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.

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 $130 - $260 122%
Blue Cross Blue Shield $138 - $309 129%
Global Health Mcr Adv $138 129%
Humana $138 - $260 129%
UnitedHealthcare $138 - $150 129%
Wellcare Mcr Adv - All Plans $138 129%
Ambetter / Centene $179 168%
Community Care Comm Ip/Op Only - All Plans $208 195%
Preferred Comm Ppo - All Plans $208 195%
Global Health Ip/Op Only - All Other Plans $221 207%
First Health - All Plans $234 219%
Multiplan - All Plans $239 224%
Health Choice - All Plans $252 236%
Soonerselect Mcaid - All Plans $260 243%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 North Broadway, Carnegie, OK 73015
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals