CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sarah D Culbertson Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $718
Cash Discount Price: $811
vs. Medicare Baseline: 6.72x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sarah D Culbertson Memorial Hospital is $718. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $811. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.72x the Medicare baseline. Located in 238 South Congress Street, Rushville, IL.

Cash / Self-Pay

$811

Average discount available for prompt cash payment at this facility.

Insurance Median

$718

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: $811 (759%)

Insurance Median: $718 (672%)

Cash: $811 (759% of Medicare)

Ins. Median: $718 (672% 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 672% of the Medicare baseline (a markup of 572%). 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
Aetna	$27 - $917	25%
Blue Cross Blue Shield	$27 - $999	25%
Molina Mmai-All Other Plans	$27 - $438	25%
UnitedHealthcare	$27 - $917	25%
Cigna	$33 - $753	31%
Multiplan/Phcs-All Plans	$82 - $917	77%
Meridian Hp Mcaid-All Plans	$168 - $357	157%
Molina Healthcare Mcaid	$168 - $357	157%
Health Dynamics-All Plans	$222 - $917	208%
Preferred Medical Claims Solution-All Plans	$250 - $917	234%
Three Rivers Provider Network-All Plans	$250 - $917	234%
Humana	$343 - $438	321%
Corvel-All Plans	$357	334%
Beech Street-All Plans	$718 - $917	672%
Encompass-All Plans	$718 - $917	672%
Healthlink-All Plans	$718 - $917	672%
Hfn Epo	$718 - $917	672%
Hfn Ppo Ip/Op Only-All Other Plans	$718 - $917	672%
Wexford Ip/Op Only-All Plans	$718 - $917	672%
Healthsmart-All Plans	$758 - $968	710%

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 $811.
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 Sarah D Culbertson 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.