CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mc Donough District Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $208
  • Cash Discount Price: $413
  • vs. Medicare Baseline: 1.95x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mc Donough District Hospital is $208. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $413. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.95x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.
Cash / Self-Pay
$413

Average discount available for prompt cash payment at this facility.

Insurance Median
$208

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: $413 (387%)
Insurance Median: $208 (195%)
Cash: $413 (387% of Medicare)
Ins. Median: $208 (195% 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
Health Alliance $22 - $1,019 21%
Hfn $34 - $1,030 32%
UnitedHealthcare $34 - $1,030 32%
Aetna $37 - $1,145 35%
Humana $37 - $1,030 35%
Medicaid / KanCare $37 - $1,145 35%
Medicare (plans) $37 - $119 35%
Meridian $37 - $119 35%
Molina $37 - $1,145 35%
Mutual Medical $37 - $1,145 35%
Veteran Affairs $37 - $119 35%
Tricare $111 104%
Springfield Health $189 - $939 177%
Consociate $196 - $973 184%
Trilogy $196 - $973 184%
Blue Choice $208 - $1,030 195%
Current Health $208 - $1,030 195%
Healthlink $208 - $1,076 195%
Blue Cross Blue Shield $211 - $1,145 198%
Preferred Plan $219 - $1,088 205%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 525 East Grant Street, Macomb, IL 61455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals