CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mountain West Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,753
  • Cash Discount Price: $1,472
  • vs. Medicare Baseline: 16.41x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mountain West Medical Center is $1,753. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,472. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.41x the Medicare baseline. Located in 2055 North Main Street, Tooele, UT.
Cash / Self-Pay
$1,472

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,753

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: $1,472 (1378%)
Insurance Median: $1,753 (1641%)
Cash: $1,472 (1378% of Medicare)
Ins. Median: $1,753 (1641% 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 1641% of the Medicare baseline (a markup of 1541%). 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 $106 - $456 99%
Select Health McR Adv $106 99%
Medicare (plans) $132 124%
Aetna $1,071 1003%
U of Ut-All Plans $1,595 1493%
Wise/Motivhealth-All Plans $1,595 1493%
Cigna $1,739 1628%
Dmba-All Plans $1,766 1653%
Pehp-All Plans $1,840 1723%
Select Health-All Other Plans $1,840 1723%
UnitedHealthcare $1,889 1769%
Multiplan Primary Network-All Other Plans $1,938 1814%
Humana $2,085 1952%
Emi-All Plans $2,085 1952%
Multiplan Complimentary Network $2,257 2113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2055 North Main Street, Tooele, UT 84074
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals