CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Astria Toppenish Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $197
  • Cash Discount Price: $749
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Astria Toppenish Hospital is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $749. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.84x the Medicare baseline. Located in 502 W Fourth Ave, Toppenish, WA.
Cash / Self-Pay
$749

Average discount available for prompt cash payment at this facility.

Insurance Median
$197

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: $749 (701%)
Insurance Median: $197 (184%)
Cash: $749 (701% of Medicare)
Ins. Median: $197 (184% 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.

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
Aetna $112 - $1,014 105%
Cigna $112 105%
Humana $112 - $1,152 105%
Medicaid / KanCare $112 - $235 105%
Medicare (plans) $112 - $952 105%
Tricare $112 105%
Zenith $113 106%
Li $116 109%
Ambetter / Centene $151 141%
UnitedHealthcare $151 - $952 141%
Va $151 141%
Molina $154 144%
Molina_Exchange $197 184%
Regence $391 366%
Premera $434 406%
Premera_Affordable_Care $434 406%
Kaiser $443 415%
Chpw_Cascade_Care $726 680%
First_Choice $795 744%
Tpsc $899 842%
Bcchp $1,152 1079%
Great_Rivers $1,152 1079%
Healthcomp $1,152 1079%
Washington_State_Hca $1,152 1079%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Fourth Ave, Toppenish, WA 98948
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals