CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $129
  • Cash Discount Price: $784
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mt Sinai Hospital Medical Center is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $784. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.21x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$784

Average discount available for prompt cash payment at this facility.

Insurance Median
$129

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: $784 (734%)
Insurance Median: $129 (121%)
Cash: $784 (734% of Medicare)
Ins. Median: $129 (121% 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
Partners In Hlth - All Plans $61 - $835 57%
Blue Cross Blue Shield $69 - $1,327 65%
Healthlink Hmo $77 - $1,043 72%
Healthlink Ppo - All Other Plans $77 - $1,043 72%
Compsych Ip/Op Only - All Plans $92 - $1,252 86%
Hfn Platinum $100 - $1,356 94%
Cigna $105 - $2,579 98%
Multiplan Primary Ntwrk/Phcs - All Other Plans $108 - $1,461 101%
Tricare $109 102%
Va Healthnet - All Plans $109 102%
Advocate Physician Prtnrs Mcr $112 105%
Cenpatico Illinicare Dual $112 105%
Cenpatico Illinicare Mcr - All Other Plans $112 105%
Humana $112 - $6,552 105%
Lawndale Christian - All Plans $112 105%
Meridian/Harmony D-Snp - All Plans $112 105%
Nextlevel Hlth Icp Fhp Aca - All Plans $112 105%
UnitedHealthcare $112 - $522 105%
Harmony Behavioral Htlh - All Plans $115 108%
Zing Mcr Adv - All Plans $117 110%
Molina Mcr - All Other Plans $118 110%
Advocate Physician Prtnrs - All Other Plans $123 115%
Ambetter / Centene $123 - $2,191 115%
Hfn Epo $123 - $1,669 115%
Multiplan Complementary Ntwrk $123 - $1,669 115%
Hfn Ppo - All Other Plans $135 - $1,836 126%
Oscar - All Plans $169 - $2,191 158%
Aetna $250 - $4,715 234%
Family Health Network Mcaid - All Plans $250 234%
Molina Mcaid $262 245%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals