CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Othello Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $787
  • Cash Discount Price: $738
  • vs. Medicare Baseline: 7.37x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Othello Community Hospital is $787. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $738. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.37x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$738

Average discount available for prompt cash payment at this facility.

Insurance Median
$787

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: $738 (691%)
Insurance Median: $787 (737%)
Cash: $738 (691% of Medicare)
Ins. Median: $787 (737% 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 737% of the Medicare baseline (a markup of 637%). 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
Ambetter / Centene $418 - $423 391%
Amerigroup Mcaid $418 391%
Chp Mcaid $418 391%
Cocare - All Plans $418 391%
Gau - All Plans $418 391%
Kaiser - All Plans $418 391%
Molina Mcaid $418 391%
UnitedHealthcare $418 - $984 391%
Chp - All Other Plans $423 396%
Molina - All Other Plans $423 396%
Medicare (plans) $492 461%
Tricare $639 598%
Triwest - All Plans $639 598%
Asuris - All Plans $787 737%
Commercial Other - All Plans $787 737%
Hma - All Plans $787 737%
Hmso - All Plans $787 737%
Tpsc - All Plans $787 737%
Travelers - All Plans $787 737%
Veterans Admin - All Plans $787 737%
Blue Cross Blue Shield $826 773%
Cigna $875 819%
First Choice - All Plans $885 829%
Aetna $924 865%
Chp Mcr Adv $984 921%
Health Alliance Mcr Adv - All Plans $984 921%
Humana $984 921%
Molina Mcare $984 921%
Wellcare Mcr Adv - All Plans $984 921%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals