CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $212
  • Cash Discount Price: $575
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Independence Health System Butler Memorial Hospita is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $575. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.98x the Medicare baseline. Located in One Hospital Way, Butler, PA.
Cash / Self-Pay
$575

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

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: $575 (538%)
Insurance Median: $212 (198%)
Cash: $575 (538% of Medicare)
Ins. Median: $212 (198% 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
Upmc $53 - $863 50%
Medicaid / KanCare $62 58%
UnitedHealthcare $62 - $262 58%
Gateway $65 - $863 61%
Geisinger $68 - $822 64%
Amerihealth $69 - $107 65%
Jefferson Health Plan $69 65%
Aetna $72 - $658 67%
Highmark $100 - $216 94%
Life Butler County $102 95%
Martin'S Point - Usfhp $102 - $288 95%
Medicare (plans) $102 95%
Peak Health $102 - $575 95%
Provider Partners $102 95%
Tricare $102 95%
Humana $106 99%
Devoted Health Plan $108 - $329 101%
The Health Plan $108 - $240 101%
Pa Health & Wellness $109 102%
American Health Plan $113 106%
Pnoa $113 - $658 106%
Workers Comp $113 106%
Highmark Aca - Direct Blue $135 - $154 126%
Highmark - Ind.& Managed Care $154 - $240 144%
Highmark Community Blue $154 - $212 144%
Ellwood Group $205 - $353 192%
Ccbh - Behavioral Health $220 - $411 206%
Cigna $234 - $411 219%
Private Healthcare Systems $575 - $699 538%
Devon $616 577%
Intergroup $658 616%
Multiplan $740 693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Way, Butler, PA 16001
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals