CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Intermountain Health Utah Valley Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $357
  • Cash Discount Price: $632
  • vs. Medicare Baseline: 3.34x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Intermountain Health Utah Valley Hospital is $357. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $632. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.34x the Medicare baseline. Located in 1034 North 500 West, Provo, UT.
Cash / Self-Pay
$632

Average discount available for prompt cash payment at this facility.

Insurance Median
$357

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: $632 (592%)
Insurance Median: $357 (334%)
Cash: $632 (592% of Medicare)
Ins. Median: $357 (334% 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 334% of the Medicare baseline (a markup of 234%). 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
Donor Connect $12 - $201 11%
Aetna $28 - $717 26%
American Health $28 - $109 26%
Blue Cross Blue Shield $28 - $641 26%
Health Partners Of Nevada $28 - $105 26%
Health Plan Of Nevada $28 - $253 26%
Healthy U $28 - $87 26%
Humana $28 - $110 26%
Molina $28 - $691 26%
Selecthealth $28 - $427 26%
Southwest Behavioral Health $28 - $100 26%
UnitedHealthcare $28 - $717 26%
Triwest $102 95%
Intermountain Caregiver Plan $300 - $406 281%
Awh Connected $339 - $544 317%
Byu Athletics $339 - $607 317%
Campbell Scientific $339 - $607 317%
Deseret Mutual $339 - $485 317%
Emi $339 - $455 317%
Emi Health $339 - $585 317%
Franklin County $339 - $607 317%
Ifit $339 - $607 317%
Juniper Systems $339 - $607 317%
Lw Miller $339 - $607 317%
Pehp $339 - $750 317%
Tanner Llc $339 - $607 317%
Utah Tech $339 - $607 317%
Cigna $531 - $717 497%
Byu Risk Management $590 - $615 552%
Corporation Of The President $590 - $615 552%
Wcf Insurance $590 - $615 552%
Corvel Corporation $607 568%
Injury Care Of Nevada $632 592%
Managed Care Admin $658 616%
Prodegi Corp Benefit $691 647%
Uofu $691 647%
Springtide $700 655%
Altius Mhnet Behavioral Health $717 671%
Global Excel $717 671%
Medcare International $717 671%
Motivhealth $717 671%
Utah Behavioral Health Network $717 671%
Wise Network $717 671%
Hygeia Corporation $759 711%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1034 North 500 West, Provo, UT 84604
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals