CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Charles Madras

Billing Code: 76700 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$183

about 1.7× the $107 Medicare rate · typically $133–$232

modeled estimate · not a bill or quote

What this hospital charges insurers

$178

About the fair price

about $5 under the fair price · 1.7× Medicare

Medicare pays $107 Fair price $183 This hospital $178 Cash price $726 Hospital's list price $908

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Highest price of the 9 OR hospitals we have prices for — worth calling around.

Cheapest $41 Priciest $178

Black dot = this hospital, among the 9 OR hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, abdomen (complete) is about $183 (about 1.7× the $107 Medicare rate). St Charles Madras charges insurers about $178, or about $726 in cash — about the fair price. Located in Madras, OR.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$218 - $839	204%
Blue Cross Blue Shieldmajor	$240 - $383	225%
Aetnamajor	$218 - $790	204%
Cignamajor	$218 - $572	204%
Humanamajor	$218	204%
Kaiser Permanentemajor	$218 - $786	204%
Devoted Health	$218	204%
Health Net	$218 - $853	204%
Moda Health	$249 - $781	233%
PacificSource	$103 - $497	96%
Providence Health Plan	$249 - $794	233%
UniCare	$218	204%
WellCare	$218	204%
+ 66 smaller / regional plans	$156 - $890

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 726), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76700.

Insurance Before you use insurance

Call your insurance company to confirm St Charles Madras is in-network.
Ask your insurer whether prior approval is required for CPT code 76700.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Charles Madras

Compare: Ultrasound, abdomen (complete) at other OR hospitals

Insurance negotiated median for the same procedure, sorted lowest first.