CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Palos Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,899
Cash Discount Price: $1,772
vs. Medicare Baseline: 17.78x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Palos Community Hospital is $1,899. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,772. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.78x the Medicare baseline. Located in 12251 South 80Th Avenue, Palos Heights, IL.

Cash / Self-Pay

$1,772

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,899

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: $1,772 (1659%)

Insurance Median: $1,899 (1778%)

Cash: $1,772 (1659% of Medicare)

Ins. Median: $1,899 (1778% 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 1778% of the Medicare baseline (a markup of 1678%). 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
Blue Cross Blue Shield	$405 - $2,532	379%
Aetna	$544 - $2,532	509%
Carelon Behavioral Health [159]	$1,266	1185%
Healthlink [125]	$1,266 - $2,532	1185%
First Health Plan [6034]	$1,438 - $1,899	1346%
Magellan Behavioral Hlth [136]	$1,519	1422%
The Alliance [1703]	$1,626	1522%
Multiplan/Phcs [142]	$1,772 - $2,532	1659%
Compsych [112]	$1,899	1778%
Beechstreet [176]	$2,026	1897%
Cigna	$2,026 - $2,532	1897%
Health'S Finest Network [126]	$2,152	2015%
Galaxy Health Network [220]	$2,532	2371%
Global Excel [1712]	$2,532	2371%
Health Alliance [181]	$2,532	2371%
UnitedHealthcare	$2,532	2371%

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 $1,772.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Palos Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.