CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $884
Cash Discount Price: $748
vs. Medicare Baseline: 8.28x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Holy Cross Hospital-Jordan Valley is $884. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $748. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.28x the Medicare baseline. Located in 3580 West 9000 South, West Jordan, UT.

Cash / Self-Pay

$748

Average discount available for prompt cash payment at this facility.

Insurance Median

$884

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: $748 (700%)

Insurance Median: $884 (828%)

Cash: $748 (700% of Medicare)

Ins. Median: $884 (828% 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 828% of the Medicare baseline (a markup of 728%). 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
Aetna	$45 - $1,579	42%
Colorado Access	$45	42%
Denver Health	$45	42%
Health Choice	$45	42%
Molina	$45 - $803	42%
Rocky Mountain Health Plan	$45	42%
Uuhp	$45 - $257	42%
Humana	$52	49%
Medicare (plans)	$52	49%
Employer Direct Healthcare	$66	62%
Motivhealth	$69	65%
Blue Cross Blue Shield	$105 - $1,122	98%
Cigna	$112 - $1,495	105%
UnitedHealthcare	$154 - $1,869	144%
Centura Employee Plan	$205	192%
Pehp	$798 - $1,869	747%
Wise	$972 - $991	910%
Deseret Mutual Benefit Administrators	$1,148	1075%
Select Health	$1,237	1158%
Multiplan	$1,290 - $1,701	1208%
Emi Health	$1,869	1750%

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 $748.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Holy Cross Hospital-Jordan Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.