CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Hamilton Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $547
  • Cash Discount Price: $606
  • vs. Medicare Baseline: 5.12x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Hamilton Memorial Hospital is $547. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $606. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.12x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.
Cash / Self-Pay
$606

Average discount available for prompt cash payment at this facility.

Insurance Median
$547

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: $606 (567%)
Insurance Median: $547 (512%)
Cash: $606 (567% of Medicare)
Ins. Median: $547 (512% 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 512% of the Medicare baseline (a markup of 412%). 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
Aetna $108 - $642 101%
Blue Cross Blue Shield $108 - $649 101%
Health Alliance $108 - $570 101%
Medicare (plans) $108 - $285 101%
UnitedHealthcare $108 - $510 101%
Wellcare $108 - $285 101%
Medicaid / KanCare $265 - $285 248%
Humana $285 267%
Alliance Coal $499 467%
Healthscope $499 467%
Wellfirst (Ssmhic) $499 467%
Hope Trust $535 501%
Cigna $560 524%
Hfn, Inc $570 - $642 534%
Healthlink $606 - $642 567%
Multiplan $606 567%
Siho $642 601%
Three Rivers Provider $642 601%
Healthsmart $677 634%
Stratose $677 634%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 S Marshall Avenue, McLeansboro, IL 62859
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals