CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: St Francis Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,214
Cash Discount Price: $1,132
vs. Medicare Baseline: 11.37x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at St Francis Hospital is $1,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,132. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.37x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$1,132

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,214

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: $1,132 (1060%)

Insurance Median: $1,214 (1137%)

Cash: $1,132 (1060% of Medicare)

Ins. Median: $1,214 (1137% 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 1137% of the Medicare baseline (a markup of 1037%). 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
Wexford	$136	127%
Molina Healthcare	$142 - $347	133%
Meridian Health Plan	$149	140%
Blue Cross Blue Shield	$330 - $362	309%
Clear Spring Health of Illinois	$330	309%
Humana	$330	309%
Aetna	$346 - $1,105	324%
UnitedHealthcare	$346 - $1,572	324%
Amish Community	$440	412%
Celtic Insurance Company	$795	744%
Claim Doc	$825	772%
Hopetrust	$904	846%
Cigna	$950	889%
Wellfirst	$1,011	947%
First Health	$1,166	1092%
Caterpillar, Inc.	$1,261	1181%
Current Health Solutions	$1,320	1236%
Multiplan/Phcs	$1,336	1251%
Consociate Group	$1,336	1251%
Healthlink	$1,341	1256%
Provider Network of America	$1,415	1325%
Healthcare Finest Network (Hfn)	$1,415	1325%
Naphcare	$1,572	1472%
Live360	$1,572	1472%
Illinois Breast and Cervical Cancer Program	$1,572	1472%
Health Alliance Medical Plans	$1,572	1472%
Healthscope	$1,572	1472%
Interplan	$1,572	1472%

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 $1,132.
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 St Francis 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.