CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Prosser Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $82
Cash Discount Price: $321
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Prosser Memorial Hospital is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.77x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$82

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: $321 (301%)

Insurance Median: $82 (77%)

Cash: $321 (301% of Medicare)

Ins. Median: $82 (77% 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.

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
Community Health Plan Of Washington	$21 - $415	20%
Coordinated Care	$21 - $415	20%
Kaiser Permanente	$21 - $933	20%
UnitedHealthcare	$21 - $820	20%
Amerigroup	$23 - $440	22%
Molina	$23 - $415	22%
Aetna	$43 - $871	40%
Health Alliance Northwest	$43 - $256	40%
Humana	$43 - $871	40%
Wellcare	$43 - $256	40%
Cigna	$48 - $840	45%
Premera	$52 - $820	49%
Asuris	$58 - $922	54%
Health Management Adminstrators	$58 - $922	54%
Regence	$58 - $922	54%
Ambetter / Centene	$77 - $789	72%
Multiplan	$122 - $922	114%
First Choice	$871	815%

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 $321.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Prosser Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.