CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Franciscan Health Crawfordsville

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $507
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 4.75x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Franciscan Health Crawfordsville is $507. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.75x the Medicare baseline. Located in 1710 Lafayette Rd, Crawfordsville, IN.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$507

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: $274 (257%)
Insurance Median: $507 (475%)
Cash: $274 (257% of Medicare)
Ins. Median: $507 (475% 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 475% of the Medicare baseline (a markup of 375%). 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) $111 104%
Workers Comp [1172] $221 207%
Blue Cross Blue Shield $267 - $507 250%
Mdwise [1175] $274 257%
Medicaid / KanCare $274 257%
Managed Health Services [1302] $282 264%
Commercial [2001] $481 - $809 450%
Managed Care [2000] $481 - $809 450%
Unicare [1150] $507 475%
United Medical Resources [1158] $634 594%
United Medical Resources [1301] $634 594%
UnitedHealthcare $634 594%
Aetna $716 670%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1710 Lafayette Rd, Crawfordsville, IN 47933
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals