CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Lutheran Hospital of Indiana

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $272
  • Cash Discount Price: $263
  • vs. Medicare Baseline: 2.55x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Lutheran Hospital of Indiana is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.55x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$263

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

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: $263 (246%)
Insurance Median: $272 (255%)
Cash: $263 (246% of Medicare)
Ins. Median: $272 (255% 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 255% of the Medicare baseline (a markup of 155%). 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
Ky Work Comp $26 - $765 24%
Amish Aid $31 - $911 29%
Lutheran Preferred Network $31 - $1,822 29%
Self Pay $31 - $1,093 29%
Cigna $33 - $1,102 31%
Blue Cross Blue Shield $38 - $1,126 36%
Aetna $41 - $1,445 38%
Lutheran Preferred $41 - $1,214 38%
Physicians Health Plan Of Northern Indiana $41 - $1,199 38%
Sagamore $47 - $1,642 44%
UnitedHealthcare $48 - $1,497 45%
Encore Ppo $51 - $1,485 48%
Lutheran Network $52 - $1,518 49%
Multiplan $75 - $2,520 70%
Prime Health Services $78 - $2,277 73%
Encore Health Network $85 - $2,732 80%
Advantage Health Solutions $86 - $2,520 81%
Allied Benefit Systems $93 - $2,732 87%
Evolutions $93 - $2,732 87%
Spreemo $95 89%
Veterans Eval Services $98 92%
Php Freedom Network $103 - $352 96%
Tricare $105 98%
One Call Care Diagnostics $107 100%
Humana $109 - $274 102%
Iu Health Plan $109 102%
Managed Health Services $109 - $274 102%
Medicare (plans) $109 102%
Department Of Veterans Affairs $111 104%
Node Devoted Health Mcr Adv $111 104%
Node Hospice Non Par Agree $111 104%
Node Va $111 104%
In Dept Of Correction $115 108%
Node Pphp Mcr Adv $116 109%
Us Department Of Labor $138 129%
Lutheran Advanced Network $166 155%
Node Lutheran Network $166 - $194 155%
Node Lutheran Preferred Fixed 2 $166 155%
Align Network $177 166%
Encore Work Comp In $199 186%
Node Encore Kba Epo $265 248%
Care Source $274 257%
Medicaid / KanCare $274 257%
Node Encore Kba Ppo $332 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals