CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Deaconess Illinois Crossroads

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $111
  • Cash Discount Price: $327
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Deaconess Illinois Crossroads is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $327. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$327

Average discount available for prompt cash payment at this facility.

Insurance Median
$111

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: $327 (306%)
Insurance Median: $111 (104%)
Cash: $327 (306% of Medicare)
Ins. Median: $111 (104% 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
Aetna $21 - $1,175 20%
Blue Cross Blue Shield $21 - $707 20%
Meridian Health Plan $21 - $111 20%
Molina Healthcare Of Illinois $21 - $112 20%
Wellcare $21 - $111 20%
Humana $26 - $1,160 24%
Mytru Advantage $26 - $111 24%
Umwa $26 - $111 24%
UnitedHealthcare $26 - $863 24%
Deaconess Onecare $34 - $818 32%
Alliance Coal $36 - $183 34%
Alter-Net Medical Services, Inc. $42 - $521 39%
Noncontracted $42 - $177 39%
Self-Pay $45 - $327 42%
Cigna $50 - $579 47%
Prime Health Services $96 - $1,116 90%
Guardian Resources, Inc. $108 - $1,249 101%
Healthcare'S Finest Network (Hfn) $109 - $1,264 102%
Medicalcontrol Network Solutions $109 - $1,264 102%
National Provider Network $109 - $1,264 102%
Three Rivers Provider Network $111 - $1,294 104%
Beech Street $113 - $1,309 106%
Care Improvement Plus $113 106%
Hope Trust $316 - $521 296%
Wexford Health Sources $669 - $1,041 626%
Encore Prime/Elite/Elite + $817 - $843 765%
Encore Combined $907 - $937 849%
Great West Healthcare Of Illinois $1,116 1045%
Multiplan - Primary Network - Phcs $1,168 1094%
Healthlink $1,190 - $1,264 1114%
Coventry Healthcare $1,252 1172%
First Health $1,252 1172%
Multiplan - Complementary Network $1,270 1189%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals