CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Snoqualmie Valley Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $225
Cash Discount Price: $335
vs. Medicare Baseline: 2.11x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Snoqualmie Valley Hospital is $225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.11x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$335

Average discount available for prompt cash payment at this facility.

Insurance Median

$225

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: $335 (314%)

Insurance Median: $225 (211%)

Cash: $335 (314% of Medicare)

Ins. Median: $225 (211% 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 211% of the Medicare baseline (a markup of 111%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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 Wa Mcd Rep	$52 - $407	49%
Medicaid / KanCare	$52 - $407	49%
UnitedHealthcare	$52 - $802	49%
Amerigroup Wellpoint	$55 - $431	51%
Washington Coordinated Care	$56 - $439	52%
Molina Healthcare Of Washington Mcd Rep	$57 - $439	53%
Blue Shield Of Wa Regence Mcr Adv	$100 - $371	94%
Community Health Plan Of Wa	$100 - $375	94%
Medicare (plans)	$100 - $367	94%
Molina Healthcare Of Washington Mcr Adv	$100 - $367	94%
Molina Healthcare Of Washington	$102 - $375	95%
Aetna	$109 - $506	102%
Blue Cross Blue Shield	$119 - $523	111%
Humana	$120 - $371	112%
Blue Shield Of Wa Regence	$122 - $225	114%
First Choice Health Network	$122 - $610	114%
Kaiser Foundation Health Plan Of The Northwest	$178 - $549	167%
Cigna	$226 - $697	212%

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 $335.
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 Snoqualmie Valley 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.