CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $111
Cash Discount Price: $118
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Thomas H Boyd Memorial Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $118. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 800 School St, Carrollton, IL.

Cash / Self-Pay

$118

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: $118 (110%)

Insurance Median: $111 (104%)

Cash: $118 (110% 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.

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
Aetna	$73 - $750	68%
Blue Cross Blue Shield	$73 - $820	68%
Health Alliance Mcr Adv	$73 - $558	68%
UnitedHealthcare	$73 - $569	68%
Wellcare Mcr Adv-All Plans	$73 - $558	68%
Humana	$74 - $564	69%
Health Alliance-All Other Plans	$88 - $670	82%
Ambetter / Centene	$95 - $725	89%
Cigna	$103 - $780	96%
Multiplan-All Plans	$108 - $820	101%
Healthlink Hmo	$109 - $831	102%
Healthlink Il Only	$109 - $799	102%
Healthlink Ppo-All Other Plans	$124 - $941	116%
Hfn Zelis-All Plans	$131 - $996	123%
Meridian Hp Mcaid-All Plans	$568	532%
Molina Mcaid-All Plans	$568	532%

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 $118.
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 Thomas H Boyd Memorial 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.