CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Jacksonville Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $986
Cash Discount Price: $1,592
vs. Medicare Baseline: 9.23x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Jacksonville Memorial Hospital is $986. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,592. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.23x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$1,592

Average discount available for prompt cash payment at this facility.

Insurance Median

$986

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: $1,592 (1490%)

Insurance Median: $986 (923%)

Cash: $1,592 (1490% of Medicare)

Ins. Median: $986 (923% 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 923% of the Medicare baseline (a markup of 823%). 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	$76 - $1,643	71%
Tricare	$79 - $300	74%
Coventry	$80 - $259	75%
Health Alliance	$80 - $1,117	75%
Humana	$80 - $1,401	75%
Medicare (plans)	$80 - $259	75%
UnitedHealthcare	$84 - $1,183	79%
Medicaid / KanCare	$214	200%
Molina Healthcare	$214	200%
Corvel/Corcare	$251 - $336	235%
Illinois Workers Compensation	$269 - $562	252%
Commercial Workers Compensation	$534	500%
Health Alliance Mh Employee Plan	$708 - $756	663%
Current Health Network	$847 - $1,232	793%
6 Degrees Health	$924 - $986	865%
Hope Trust	$924 - $986	865%
Hst	$924 - $986	865%
Cigna	$1,067 - $1,139	999%
Aetna	$1,076 - $1,314	1007%
Healthlink	$1,309 - $1,397	1226%
Phcs/Multiplan	$1,386 - $1,479	1298%
Hfn	$1,463 - $1,561	1370%
Liability	$1,540 - $1,643	1442%

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 $1,592.
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 Jacksonville 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.