CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sheridan Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $437
Cash Discount Price: $376
vs. Medicare Baseline: 4.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sheridan Memorial Hospital is $437. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $376. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.09x the Medicare baseline. Located in 1401 W 5Th St, Sheridan, WY.

Cash / Self-Pay

$376

Average discount available for prompt cash payment at this facility.

Insurance Median

$437

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: $376 (352%)

Insurance Median: $437 (409%)

Cash: $376 (352% of Medicare)

Ins. Median: $437 (409% 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 409% of the Medicare baseline (a markup of 309%). 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
Humana	$27 - $114	25%
Blue Cross Blue Shield	$80 - $939	75%
Pacificsource-All Plans	$137 - $995	128%
Wise Provider Network-All Plans	$137 - $1,052	128%
Medi-Share Profee Only - All Plans	$140 - $448	131%
Miscellaneous-All Plans	$140 - $1,018	131%
Cigna	$145 - $1,052	136%
First Choice Comm - All Plans	$148 - $1,074	139%
Phcs Multiplan-All Plans	$148 - $1,074	139%
Three Rivers-All Plans	$148 - $1,074	139%
Wy School Boards-All Plans	$392 - $944	367%
UnitedHealthcare	$403 - $969	377%
C1 Employee - All Plans	$423 - $1,018	396%
Casper Opco Llc - All Plans	$423 - $1,018	396%
First Health Comm - All Plans	$423 - $1,018	396%
Ebms - All Plans	$446 - $1,074	418%

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 $376.
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 Sheridan 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.