CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: South Lincoln Medical Center - Cah

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $490
Cash Discount Price: $409
vs. Medicare Baseline: 4.59x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at South Lincoln Medical Center - Cah is $490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.59x the Medicare baseline. Located in 711 Onyx Street, Kemmerer, WY.

Cash / Self-Pay

$409

Average discount available for prompt cash payment at this facility.

Insurance Median

$490

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: $409 (383%)

Insurance Median: $490 (459%)

Cash: $409 (383% of Medicare)

Ins. Median: $490 (459% 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 459% of the Medicare baseline (a markup of 359%). 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
Aetna	$27 - $787	25%
Blue Cross Blue Shield	$27 - $696	25%
Humana	$27 - $431	25%
UnitedHealthcare	$33 - $746	31%
Health Infonet/First Choice - All Plans	$224 - $787	210%
Altius Health Plans - All Plans	$490 - $746	459%
Cigna	$490 - $746	459%
Great West Healthcare - All Plans	$490 - $746	459%
Integrated Hp - All Plans	$490 - $746	459%
Winhealth Partners - All Plans	$490 - $746	459%
Ccn - All Plans	$518 - $787	485%
Geha - All Plans	$518 - $787	485%
Three Rivers - All Plans	$518 - $787	485%

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 $409.
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 South Lincoln Medical Center - Cah 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.