CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sanford Usd Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $374
  • Cash Discount Price: $825
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sanford Usd Medical Center is $374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $825. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.50x the Medicare baseline. Located in 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD.
Cash / Self-Pay
$825

Average discount available for prompt cash payment at this facility.

Insurance Median
$374

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: $825 (772%)
Insurance Median: $374 (350%)
Cash: $825 (772% of Medicare)
Ins. Median: $374 (350% 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 350% of the Medicare baseline (a markup of 250%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $49 - $138 46%
Sanford Health Plan $87 81%
Sanford Health Plan Align $101 95%
Ucare $108 - $725 101%
Aetna $110 - $789 103%
Health Partners $110 - $402 103%
Medicare (plans) $110 103%
UnitedHealthcare $110 - $908 103%
Primewest $112 - $115 105%
Security Health Plan $567 531%
Medica $695 - $743 651%
First Choice Health Network $928 869%
Healthez $928 869%
Multiplan $928 869%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 W 18Th St Post Office Box 5039, Sioux Falls, SD 57117
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals