CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Indiana Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $109
  • Cash Discount Price: $312
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Indiana Regional Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$312

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $312 (292%)
Insurance Median: $109 (102%)
Cash: $312 (292% of Medicare)
Ins. Median: $109 (102% 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
UnitedHealthcare $43 - $422 40%
Upmc Health Plan $45 - $485 42%
Amerihealth Caritas $50 - $113 47%
Geisinger Health Plan $50 - $113 47%
Ambetter / Centene $51 - $113 48%
Highmark $67 - $300 63%
Highmark Wholecare $74 - $109 69%
Humana $79 - $107 74%
Tricare $79 - $1,054 74%
Aetna $80 - $334 75%
Cigna $81 - $279 76%
Medicare (plans) $81 - $109 76%
United Mine Workers Of America $81 - $109 76%
Geisinger $113 - $305 106%
Pa Health And Wellness Commercial $113 - $305 106%
Department Of Human Services And Torrance State Hospital $428 - $664 401%
Premier Comp Solutions, Llc $611 - $949 572%
Miscellaneous Commercial $679 - $1,054 636%
Pa Workers Compensation $679 - $1,054 636%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals