CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Fayette County Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $332
Cash Discount Price: $1,028
vs. Medicare Baseline: 3.11x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Fayette County Hospital is $332. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,028. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.11x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.

Cash / Self-Pay

$1,028

Average discount available for prompt cash payment at this facility.

Insurance Median

$332

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: $1,028 (962%)

Insurance Median: $332 (311%)

Cash: $1,028 (962% of Medicare)

Ins. Median: $332 (311% 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 311% of the Medicare baseline (a markup of 211%). 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	$34 - $1,267	32%
Health Alliance Mcare	$37 - $588	35%
Healthlink Mcr Adv	$37 - $588	35%
Cigna	$43 - $1,377	40%
Coventry/Ghp-All Plans	$50 - $1,193	47%
Multiplan - All Plans	$69 - $1,561	65%
Blue Cross Blue Shield	$72 - $1,542	67%
Illinicare - All Plans	$72 - $332	67%
Medicaid / KanCare	$72 - $332	67%
Meridian-All Plans	$72 - $332	67%
Health Alliance - All Other Plans	$75 - $1,517	70%
UnitedHealthcare	$182 - $1,524	170%
Healthlink Hmo	$188 - $1,285	176%
Healthlink Ppo - All Other Plans	$188 - $1,469	176%
Humana	$588	551%

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 $1,028.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Fayette County Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.