CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Jacksonville Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,071
Cash Discount Price: $1,947
vs. Medicare Baseline: 10.03x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Jacksonville Memorial Hospital is $1,071. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,947. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.03x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$1,947

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,071

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: $1,947 (1823%)

Insurance Median: $1,071 (1003%)

Cash: $1,947 (1823% of Medicare)

Ins. Median: $1,071 (1003% 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 1003% of the Medicare baseline (a markup of 903%). 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
Blue Cross Blue Shield	$100 - $1,947	94%
Tricare	$105 - $355	98%
Coventry	$106 - $307	99%
Health Alliance	$106 - $1,324	99%
Humana	$106 - $1,661	99%
Medicare (plans)	$106 - $307	99%
UnitedHealthcare	$111 - $1,402	104%
Medicaid / KanCare	$330	309%
Molina Healthcare	$330	309%
Corvel/Corcare	$377 - $449	353%
Illinois Workers Compensation	$405 - $573	379%
Commercial Workers Compensation	$545	510%
Health Alliance Mh Employee Plan	$896	839%
Current Health Network	$1,071 - $1,460	1003%
6 Degrees Health	$1,168	1094%
Hope Trust	$1,168	1094%
Hst	$1,168	1094%
Cigna	$1,349	1263%
Aetna	$1,361 - $1,558	1274%
Healthlink	$1,655	1549%
Phcs/Multiplan	$1,752	1640%
Hfn	$1,850	1732%
Liability	$1,947	1823%

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 $1,947.
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 Jacksonville Memorial 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.