CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Henry County Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $114
Cash Discount Price: $528
vs. Medicare Baseline: 1.07x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Henry County Memorial Hospital is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $528. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.07x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$528

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

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: $528 (494%)

Insurance Median: $114 (107%)

Cash: $528 (494% of Medicare)

Ins. Median: $114 (107% 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.

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
UnitedHealthcare	$31 - $960	29%
Humana	$35 - $1,038	33%
Aetna	$36 - $1,002	34%
Blue Cross Blue Shield	$36 - $902	34%
Caresource Hip	$36 - $112	34%
Caresource Mcr Adv	$37 - $114	35%
Caresource Marketplace-All Other Plans	$49 - $213	46%
Caresource Just4Me	$54 - $280	51%
Encore Workers Comp-All Plans	$62 - $1,120	58%
Caresource Mcaid	$72 - $108	67%
Cigna	$164 - $802	154%
Health Alliance-All Plans	$279 - $1,002	261%
Workers Comp - All Plans	$296 - $1,061	277%

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 $528.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Henry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.