CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mon Health Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $109
  • Cash Discount Price: $216
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mon Health Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $216. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 1200 Jd Anderson Drive, Morgantown, WV.
Cash / Self-Pay
$216

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $216 (202%)
Insurance Median: $109 (102%)
Cash: $216 (202% of Medicare)
Ins. Median: $109 (102% 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
Geha_Plan $23 - $837 22%
Unison_Plan $38 - $62 36%
Gateway_Health_Plan $41 - $62 38%
Maryland_Physicians_Care_Plan $41 - $604 38%
The_Health_Plan_Murray_Energy_Commercial_Aso_Plan $46 - $690 43%
The_Health_Plan_Plan $50 - $742 47%
Aetna $51 - $130 48%
Blue Cross Blue Shield $51 - $511 48%
Health_South_Mountain_View_Plan $51 - $101 48%
Medicare (plans) $51 - $101 48%
Paramount_Elite_Plan $51 - $101 48%
Uhc_Onenet_Ppo_Plan $51 - $837 48%
Uhc_Options_Ppo_Plan $51 - $803 48%
Uhc_Plan $51 - $777 48%
Umwa_Plan $51 48%
Acpn_Plan $52 - $777 49%
Cigna $52 - $777 49%
Humana $52 - $777 49%
Mon_County_Commission_Plan $52 - $777 49%
Health_Payors_Organization_Plan $53 - $794 50%
Multiplan_Phcs_Plan $55 - $820 51%
Mutual_Of_Omaha_Plan $55 - $820 51%
Three_Rivers_Plan $56 - $837 52%
Upmc__Plan $56 - $837 52%
Zelis_Other_Plan $86 - $201 81%
Uhc_Va_Plan $101 95%
Zelis_Group_Health_Plan $101 - $201 95%
Seven_Corners_Plan $103 - $202 96%
The_Health_Plan_Peia_Plan $116 109%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Jd Anderson Drive, Morgantown, WV 26505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals