CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Pioneer Memorial Hospital - Cah

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,159
Cash Discount Price: $1,364
vs. Medicare Baseline: 10.85x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Pioneer Memorial Hospital - Cah is $1,159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,364. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.85x the Medicare baseline. Located in 315 N Washington Ave Post Office Box 368, Viborg, SD.

Cash / Self-Pay

$1,364

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,159

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: $1,364 (1277%)

Insurance Median: $1,159 (1085%)

Cash: $1,364 (1277% of Medicare)

Ins. Median: $1,159 (1085% 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 1085% of the Medicare baseline (a markup of 985%). 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
UnitedHealthcare	$477 - $1,146	447%
Aetna	$1,078	1009%
Health Partners	$1,132	1060%
United Medical Resources	$1,146	1073%
Avera Health Plan	$1,159	1085%
Cigna	$1,159	1085%
Dakotacare	$1,159	1085%
Medica	$1,159	1085%
Sanford Health Plan	$1,228	1150%
Blue Cross Blue Shield	$1,309	1226%

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 $1,364.
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 Pioneer Memorial Hospital - Cah 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.