CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Kosciusko Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $274
  • Cash Discount Price: $411
  • vs. Medicare Baseline: 2.57x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Kosciusko Community Hospital is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $411. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.57x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$411

Average discount available for prompt cash payment at this facility.

Insurance Median
$274

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: $411 (385%)
Insurance Median: $274 (257%)
Cash: $411 (385% of Medicare)
Ins. Median: $274 (257% 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 257% of the Medicare baseline (a markup of 157%). 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
Amish Aid $72 - $689 67%
Self Pay $72 - $1,279 67%
Veterans Eval Services $98 92%
Tricare $105 98%
UnitedHealthcare $105 - $1,725 98%
One Call Care Diagnostics Wc $107 100%
Lutheran Preferred Network $109 - $2,624 102%
Department Of Veterans Affairs $111 104%
Aetna $117 - $1,745 110%
Blue Cross Blue Shield $117 - $455 110%
Humana $117 - $274 110%
Medicare (plans) $117 110%
Mhs $117 - $274 110%
Iu Health $118 110%
Node Non Par Hospice Agree $118 110%
Node Va $118 110%
Node Devoted Health Mcr Adv $119 111%
In Dept Of Correction $123 115%
Node Pphp Mcr Adv $124 116%
Physicians Health Plan $127 - $1,511 119%
Php Freedom Network $133 - $1,267 125%
Encore $138 - $1,312 129%
Trma Inc $138 - $1,476 129%
Us Department Of Labor $148 139%
Lutheran Advanced Network $178 167%
Lutheran Preferred $178 - $237 167%
Align In Work Comp $190 178%
One Call Work Comp $190 178%
Connecticut General Life Insurance Company $203 - $1,932 190%
Caresource $211 - $274 198%
Encore Work Comp In $213 199%
Prime Health Services $213 - $2,460 199%
Cigna $217 - $2,073 203%
Managed Health Services Exchange $237 222%
Workers Comp $237 222%
First Health Network $258 - $2,460 242%
Managed Health Services $274 257%
Medicaid / KanCare $274 257%
Encore Kba Epo $284 266%
Advantage Health $286 - $2,722 268%
Private Healthcare Systems $296 - $2,821 277%
Sagamore $303 - $3,083 284%
Encore Health Network $320 - $3,050 300%
Encore Kba Ppo $355 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals