CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Orem Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $464
  • Cash Discount Price: $820
  • vs. Medicare Baseline: 4.34x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Orem Community Hospital is $464. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $820. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.34x the Medicare baseline. Located in 331 North 400 West, Orem, UT.
Cash / Self-Pay
$820

Average discount available for prompt cash payment at this facility.

Insurance Median
$464

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: $820 (768%)
Insurance Median: $464 (434%)
Cash: $820 (768% of Medicare)
Ins. Median: $464 (434% 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 434% of the Medicare baseline (a markup of 334%). 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 $26 - $305 24%
Aetna $38 - $929 36%
American Health $38 - $110 36%
Blue Cross Blue Shield $38 - $831 36%
Health Partners Of Nevada $38 - $106 36%
Health Plan Of Nevada $38 - $328 36%
Healthy U $38 - $106 36%
Humana $38 - $106 36%
Molina $38 - $1,039 36%
Selecthealth $38 - $553 36%
UnitedHealthcare $38 - $929 36%
Triwest $102 95%
Intermountain Caregiver Plan $300 - $527 281%
Awh Connected $339 - $705 317%
Byu Athletics $339 - $787 317%
Campbell Scientific $339 - $787 317%
Deseret Mutual $339 - $629 317%
Emi $339 - $590 317%
Emi Health $339 - $759 317%
Franklin County $339 - $787 317%
Ifit $339 - $787 317%
Juniper Systems $339 - $787 317%
Lw Miller $339 - $787 317%
Pehp $339 - $973 317%
Tanner Llc $339 - $787 317%
Utah Tech $339 - $787 317%
Cigna $689 - $929 645%
Byu Risk Management $765 - $798 716%
Corporation Of The President $765 - $798 716%
Wcf Insurance $765 - $798 716%
Corvel Corporation $787 737%
Injury Care Of Nevada $820 768%
Managed Care Admin $853 799%
Prodegi Corp Benefit $897 840%
Uofu $897 840%
Springtide $907 849%
Global Excel $929 870%
Medcare International $929 870%
Motivhealth $929 870%
Wise Network $929 870%
Hygeia Corporation $984 921%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 331 North 400 West, Orem, UT 84057
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals