CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Joseph Health System, LLC

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $189
  • Cash Discount Price: $136
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St Joseph Health System, LLC is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.77x the Medicare baseline. Located in 702 Van Buren St., Fort Wayne, IN.
Cash / Self-Pay
$136

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

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: $136 (127%)
Insurance Median: $189 (177%)
Cash: $136 (127% of Medicare)
Ins. Median: $189 (177% 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.

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
Amish Aid $25 - $638 23%
Self Pay $25 - $1,461 23%
Lutheran Preferred $29 - $1,594 27%
Cigna $33 - $2,657 31%
Blue Cross Blue Shield $38 - $964 36%
Php $41 - $1,062 38%
Lutheran Network $47 - $1,461 44%
Three Rivers $47 - $1,196 44%
Aetna $48 - $1,807 45%
UnitedHealthcare $48 - $1,323 45%
Encore Ppo $53 - $2,391 50%
Sagamore $54 - $1,437 51%
Multiplan $71 - $2,072 66%
First Health $78 - $1,993 73%
Prime Health Services $78 - $1,993 73%
Align Network $83 - $2,126 78%
Frontpath Health Coalition $83 - $2,126 78%
Advantage Health Solutions $86 - $2,205 81%
Allied Benefit Systems $93 - $2,391 87%
Spreemo $95 89%
Veterans Eval Services $98 92%
Medical Mutual Of Ohio $103 - $2,657 96%
Parkview Healthplan Services $103 - $2,657 96%
Php Freedom Network $103 - $331 96%
Value Options $103 - $2,657 96%
Tricare $105 98%
Humana $109 - $274 102%
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%
Encore Work Comp In $199 186%
Work Comp $221 207%
Encore Kba Epo $265 248%
Caresource $274 257%
Medicaid / KanCare $274 257%
Encore Kba Ppo $332 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 702 Van Buren St., Fort Wayne, IN 46802
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals