CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Northwestern Medicine Delnor Community Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,490
Cash Discount Price: $1,604
vs. Medicare Baseline: 13.95x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Northwestern Medicine Delnor Community Hospital is $1,490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,604. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.95x the Medicare baseline. Located in 300 Randall Rd, Geneva, IL.

Cash / Self-Pay

$1,604

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,490

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: $1,604 (1502%)

Insurance Median: $1,490 (1395%)

Cash: $1,604 (1502% of Medicare)

Ins. Median: $1,490 (1395% 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 1395% of the Medicare baseline (a markup of 1295%). 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	$342 - $1,598	320%
Aetna	$374 - $1,556	350%
Carelon Behavioral Health [159]	$1,146	1073%
Health'S Finest Network [126]	$1,146 - $1,948	1073%
First Health Plan [6034]	$1,421 - $1,581	1330%
Healthlink [125]	$1,444	1352%
The Alliance [1703]	$1,472	1378%
Multiplan/Phcs [142]	$1,719 - $2,292	1609%
Cigna	$1,834	1717%
Compsych [112]	$1,834	1717%
Beechstreet [176]	$2,063	1931%
UnitedHealthcare	$2,292	2146%

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 $1,604.
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 Northwestern Medicine Delnor Community Hospital 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.