CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Sanford Canton-Inwood Medical Center - Cah

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $867
  • Cash Discount Price: $934
  • vs. Medicare Baseline: 8.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Sanford Canton-Inwood Medical Center - Cah is $867. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $934. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.12x the Medicare baseline. Located in 440 North Hiawatha Drive, Canton, SD.
Cash / Self-Pay
$934

Average discount available for prompt cash payment at this facility.

Insurance Median
$867

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: $934 (874%)
Insurance Median: $867 (812%)
Cash: $934 (874% of Medicare)
Ins. Median: $867 (812% 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 812% of the Medicare baseline (a markup of 712%). 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
Sanford Health Plan Align $399 374%
Ucare $429 - $1,026 402%
Wellmark $429 - $1,016 402%
Aetna $433 - $1,015 405%
Health Partners $433 - $876 405%
Medicare (plans) $433 405%
UnitedHealthcare $433 - $975 405%
Primewest $442 414%
Sanford Health Plan $640 - $858 599%
Security Health Plan $642 601%
Medica $964 - $1,030 903%
First Choice Health Network $1,051 984%
Healthez $1,051 984%
Multiplan $1,051 984%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 440 North Hiawatha Drive, Canton, SD 57013
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals