CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Intermountain Health Heber Valley Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $809
  • Cash Discount Price: $697
  • vs. Medicare Baseline: 7.57x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Intermountain Health Heber Valley Hospital is $809. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $697. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.57x the Medicare baseline. Located in 454 East Medical Way, Heber City, UT.
Cash / Self-Pay
$697

Average discount available for prompt cash payment at this facility.

Insurance Median
$809

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: $697 (653%)
Insurance Median: $809 (757%)
Cash: $697 (653% of Medicare)
Ins. Median: $809 (757% 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 757% of the Medicare baseline (a markup of 657%). 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
Triwest $38 - $702 36%
Aetna $279 - $820 261%
American Health $279 261%
Blue Cross Blue Shield $279 - $822 261%
Health Partners Of Nevada $279 261%
Health Plan Of Nevada $279 - $827 261%
Healthy U $279 - $827 261%
Humana $279 261%
Molina $279 - $827 261%
Selecthealth $279 - $827 261%
UnitedHealthcare $279 - $822 261%
Awh Connected $339 - $832 317%
Byu Athletics $339 - $809 317%
Campbell Scientific $339 - $809 317%
Cigna $339 - $822 317%
Deseret Mutual $339 - $822 317%
Emi $339 - $822 317%
Emi Health $339 - $809 317%
Franklin County $339 - $809 317%
Ifit $339 - $809 317%
Intermountain Caregiver Plan $339 - $822 317%
Juniper Systems $339 - $809 317%
Lw Miller $339 - $809 317%
Managed Care Admin $339 - $809 317%
Motivhealth $339 - $809 317%
Pehp $339 - $836 317%
Prodegi Corp Benefit $339 - $809 317%
Tanner Llc $339 - $809 317%
Utah Tech $339 - $809 317%
Wise Network $339 - $809 317%
Corporation Of The President $697 653%
Corvel Corporation $697 653%
Injury Care Of Nevada $697 653%
Wcf Insurance $697 653%
Byu Risk Management $790 740%
Medcare International $790 740%
Springtide $790 740%
Uofu $790 740%
Global Excel $836 783%
Health Utah $836 783%
Hygeia Corporation $836 783%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 454 East Medical Way, Heber City, UT 84032
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals