CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Warner Hospital and Health Services

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $957
  • Cash Discount Price: $1,226
  • vs. Medicare Baseline: 8.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Warner Hospital and Health Services is $957. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,226. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.96x the Medicare baseline. Located in 422 W White St, Clinton, IL.
Cash / Self-Pay
$1,226

Average discount available for prompt cash payment at this facility.

Insurance Median
$957

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: $1,226 (1148%)
Insurance Median: $957 (896%)
Cash: $1,226 (1148% of Medicare)
Ins. Median: $957 (896% 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 896% of the Medicare baseline (a markup of 796%). 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
Blue Cross Blue Shield $488 - $1,202 457%
Aetna $503 - $1,042 471%
Health Alliance Med Adv $503 471%
Humana $503 - $1,042 471%
Molina Mcr/Mcd Dual $503 471%
UnitedHealthcare $503 - $1,042 471%
Wellcare Mcr Adv-All Plans $503 471%
Harmony Hp Mcaid-All Plans $639 598%
Medicaid / KanCare $639 598%
Meridian Hp-All Plans $639 598%
Molina-All Other Plans $639 598%
Healthlink Hmo $957 896%
City Of Clinton (Employees Serv)-All Plans $981 918%
Cigna $1,018 953%
Caterpillar-All Plans $1,042 976%
Multiplan Phcs-All Plans $1,042 976%
Health Alliance-All Other Plans $1,079 1010%
Healthlink Ppo/Work Comp-All Other Plans $1,079 1010%
Consociate Care Ppo-All Plans $1,104 1034%
Hfn Ppo/Epo-All Plans $1,104 1034%
Three Rivers-All Plans $1,165 1091%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 422 W White St, Clinton, IL 61727
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals