CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Southern Coos Hospital & Health Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $590
Cash Discount Price: $514
vs. Medicare Baseline: 5.52x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Southern Coos Hospital & Health Center is $590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $514. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.52x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$514

Average discount available for prompt cash payment at this facility.

Insurance Median

$590

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: $514 (481%)

Insurance Median: $590 (552%)

Cash: $514 (481% of Medicare)

Ins. Median: $590 (552% 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 552% of the Medicare baseline (a markup of 452%). 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
Cigna	$68 - $706	64%
Moda Health Plan - All Other Plans	$68 - $796	64%
Blue Cross Blue Shield	$69 - $832	65%
Providence Preferred - All Plans	$77 - $850	72%
Tricare	$118 - $519	110%
Aetna	$134 - $805	125%
Atrio Mcr Adv - Allplans	$134 - $590	125%
Confederated Tribes - All Plans	$134 - $590	125%
Moda Mcr Adv	$134 - $590	125%
Pacific Source Mcr Adv	$134 - $590	125%
Advanced Health - All Plans	$563	527%
Healthnet - All Plans	$742	695%
Prov Netwrk Of America - All Plans	$805	754%
Three Rivers - All Plans	$805	754%
UnitedHealthcare	$805	754%
First Choice - All Plans	$823	771%
Multiplan - All Plans	$832	779%
First Health - All Plans	$850	796%
Pacific Source - All Other Plans	$850	796%

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 $514.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southern Coos Hospital & Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.