CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Morris Hospital & Healthcare Centers

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $1,119
  • Cash Discount Price: $492
  • vs. Medicare Baseline: 10.48x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Morris Hospital & Healthcare Centers is $1,119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $492. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.48x the Medicare baseline. Located in 150 W High St, Morris, IL.
Cash / Self-Pay
$492

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,119

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: $492 (461%)
Insurance Median: $1,119 (1048%)
Cash: $492 (461% of Medicare)
Ins. Median: $1,119 (1048% 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 1048% of the Medicare baseline (a markup of 948%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Choicecare Hum Mcr Ppo $112 105%
UnitedHealthcare $112 - $1,575 105%
Aetna $114 - $1,256 107%
Health Alliance Mcr Adv $115 108%
Blue Cross Blue Shield $883 - $982 827%
Cigna $902 - $1,534 844%
Caterpillar - All Plans $920 861%
Capp Care Ppo-Oth $982 919%
Ambetter / Centene $1,432 1341%
Choicecare Hum Othr - All Other Plans $1,636 1532%
Multiplan - All Other Plans $1,636 1532%
Multiplan Prime Ntwrk $1,636 1532%
Health Alliance - All Other Plans $1,738 1627%
Hfn All Plans - All Plans $1,738 1627%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 W High St, Morris, IL 60450
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals