CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Adventist Health Tillamook

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $446
Cash Discount Price: $461
vs. Medicare Baseline: 4.18x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Adventist Health Tillamook is $446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $461. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.18x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$461

Average discount available for prompt cash payment at this facility.

Insurance Median

$446

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: $461 (432%)

Insurance Median: $446 (418%)

Cash: $461 (432% of Medicare)

Ins. Median: $446 (418% 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 418% of the Medicare baseline (a markup of 318%). 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
Aetna	$37 - $830	35%
UnitedHealthcare	$37 - $847	35%
Moda Health Plan - All Plans	$38 - $419	36%
Sterling Life - All Plans	$38 - $436	36%
Medicare (plans)	$39 - $419	37%
Devoted Health	$40 - $453	37%
Blue Cross Blue Shield	$43 - $776	40%
Hvhs Mcare - All Plans	$45 - $423	42%
Pacificsource - All Plans	$82 - $856	77%
Ods Health Plan - All Other Plans	$87 - $865	81%
Lifewise - All Plans	$238 - $805	223%
Ah Employee Health Plan - All Plans	$248 - $838	232%
First Choice Health- All Plans	$248 - $838	232%
Health Net - All Plans	$248 - $838	232%
Providence Preferred - All Plans	$259 - $874	242%
Workers Comp	$264 - $892	247%
Cigna	$811 - $847	759%
Phcs Preferred - All Plans	$811 - $847	759%

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 $461.
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 Adventist Health Tillamook 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.