CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Goshen Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $296
  • Cash Discount Price: $927
  • vs. Medicare Baseline: 2.77x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Goshen Hospital is $296. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $927. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.77x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$927

Average discount available for prompt cash payment at this facility.

Insurance Median
$296

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: $927 (868%)
Insurance Median: $296 (277%)
Cash: $927 (868% of Medicare)
Ins. Median: $296 (277% 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 277% of the Medicare baseline (a markup of 177%). 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
Advantage Health Solutions $296 277%
Aetna $296 277%
Atrio Health Plans $296 277%
Bc Federal Employee $296 277%
Bc Mcr Advantage Ppo $296 277%
Blue Cross Blue Shield $296 - $348 277%
Buckeye Health Plan $296 277%
Cigna $296 277%
Coventry Health And Life $296 277%
Emblem Health $296 277%
Freedom Healthcare $296 277%
Geisinger Health Plan $296 277%
Health First $296 277%
Healthspring $296 277%
Humana $296 277%
Iehp Empire Health Plan $296 277%
Independent Care Health Plan $296 277%
Kaiser Permanente $296 277%
Mcr Advantra Freedom $296 277%
Mcr Allwell Mhs $296 277%
Mcr Banner Health $296 277%
Mcr Complete $296 277%
Mcr Complete Ppo $296 277%
Mcr Complete Wellmed $296 277%
Mcr Health Alliance $296 277%
Mcr Health Partners Plans $296 277%
Mcr Medical Mutual Of Ohio $296 277%
Mcr Passport Advantage $296 277%
Mcr Secure Horizons Ppo $296 277%
Mcr Texan Plus $296 277%
Mcr Upmc For Life $296 277%
Medicare (plans) $296 - $313 277%
Meridian Complete $296 277%
Optimum Healthcare $296 277%
Paramount Elite $296 277%
Primetime Health Plan $296 277%
Simply Complete Hmo $296 277%
The Umwa H&R Funds $296 277%
Todays Options Pyramid Life $296 277%
Trillium Advantage $296 277%
Ucare For Seniors $296 277%
Ucare Minnesota $296 277%
UnitedHealthcare $296 - $373 277%
Wellcare $296 277%
Champva $304 285%
Tricare $304 285%
Mcr Devoted Health Plan $313 293%
Mcr Provider Partners Hlth Pln $335 314%
Bc Allied $348 326%
All Savers $373 349%
Golden Rule Insurance 2Nd $373 349%
Oxford Health $373 349%
Uhclic $373 349%
Uhss $373 349%
Ambetter / Centene $426 399%
Mkt Caresource $426 399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals