CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Prosser Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $59
Cash Discount Price: $262
vs. Medicare Baseline: 0.55x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Prosser Memorial Hospital is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $262. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.55x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$262

Average discount available for prompt cash payment at this facility.

Insurance Median

$59

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: $262 (245%)

Insurance Median: $59 (55%)

Cash: $262 (245% of Medicare)

Ins. Median: $59 (55% 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	$16 - $324	15%
Coordinated Care	$16 - $324	15%
Kaiser Permanente	$16 - $729	15%
Molina	$16 - $324	15%
UnitedHealthcare	$16 - $641	15%
Amerigroup	$17 - $344	16%
Health Alliance Northwest	$31 - $200	29%
Humana	$31 - $681	29%
Wellcare	$31 - $200	29%
Aetna	$32 - $681	30%
Cigna	$35 - $657	33%
Premera	$38 - $641	36%
Asuris	$42 - $721	39%
Health Management Adminstrators	$42 - $721	39%
Regence	$42 - $721	39%
Ambetter / Centene	$56 - $617	52%
Multiplan	$128 - $721	120%
First Choice	$681	638%

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 $262.
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 Prosser Memorial Hospital 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.