CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,880
  • Cash Discount Price: $1,645
  • vs. Medicare Baseline: 17.60x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Ann & Robert H Lurie Childrens Hospital of Chicago is $1,880. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,645. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.60x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$1,645

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,880

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: $1,645 (1540%)
Insurance Median: $1,880 (1760%)
Cash: $1,645 (1540% of Medicare)
Ins. Median: $1,880 (1760% 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 1760% of the Medicare baseline (a markup of 1660%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicare (plans) $400 - $2,656 374%
UnitedHealthcare $590 - $633 552%
Mercycare Health $870 815%
Magellan $900 - $1,880 843%
Cigna $987 - $1,668 924%
Blue Cross Blue Shield $1,018 - $1,880 953%
Aetna $1,175 - $1,840 1100%
Beacon Health Options $1,175 1100%
La Rabida Childrens Hospital $1,175 1100%
Centegra $1,410 1320%
Independent Physicians At Mercy $1,410 1320%
Advanced Physicians Association Ipa $1,645 1540%
Health Plus $1,645 1540%
Imagine Health $1,645 1540%
Methodist First Choice $1,645 1540%
Northwest Community Healthcare $1,645 1540%
Presence Health Partners $1,645 1540%
St. Francis $1,645 1540%
Ui Health $1,645 1540%
West Suburban Health Providers $1,645 1540%
Shriners Hospital $1,762 1650%
Swedish Covenant Physician Partners $1,762 1650%
American Psych Systems $1,880 1760%
Health Alliance $1,880 1760%
Macneal Health $1,880 1760%
Healthlink Inc. $1,939 1815%
Cofinity $1,998 1871%
Hfn Inc $1,998 - $2,115 1871%
Humana $1,998 1871%
Principal Healthcare $1,998 1871%
St. Elizabeth $1,998 1871%
First Health $2,068 1936%
Healthstar $2,068 1936%
Preferred Health Network $2,068 1936%
Sagamore Health Network $2,068 1936%
Beech Street $2,115 1980%
Benchmark Health $2,115 1980%
Employer'S Coalition On Health $2,115 1980%
Private Health Care System $2,115 1980%
Security Health Plan $2,115 1980%
Swedish American $2,115 1980%
Wellmark/Healthnetwork $2,162 2024%
Health Smart $2,232 2090%
Integrated Health Plan $2,232 2090%
Multiplan $2,232 2090%
National Provider Network $2,232 2090%
Wea Insurance Group $2,232 2090%
Unicare $3,678 - $8,500 3443%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens