CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Kosciusko Community Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $207
  • Cash Discount Price: $282
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Kosciusko Community Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.94x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$282

Average discount available for prompt cash payment at this facility.

Insurance Median
$207

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: $282 (264%)
Insurance Median: $207 (194%)
Cash: $282 (264% of Medicare)
Ins. Median: $207 (194% 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 $16 - $534 15%
Self Pay $16 - $992 15%
Lutheran Preferred Network $24 - $2,035 22%
Physicians Health Plan $28 - $1,172 26%
Php Freedom Network $30 - $982 28%
UnitedHealthcare $30 - $1,338 28%
Encore $31 - $1,018 29%
Aetna $32 - $1,353 30%
Connecticut General Life Insurance Company $45 - $1,498 42%
Cigna $49 - $1,608 46%
First Health Network $58 - $1,908 54%
Prime Health Services $58 - $1,908 54%
Advantage Health $64 - $2,112 60%
Private Healthcare Systems $66 - $2,188 62%
Sagamore $68 - $2,391 64%
Encore Health Network $72 - $2,366 67%
Veterans Eval Services $77 - $98 72%
One Call Care Diagnostics Wc $81 76%
Tricare $105 98%
Department Of Veterans Affairs $111 104%
Blue Cross Blue Shield $117 - $455 110%
Humana $117 - $216 110%
Medicare (plans) $117 110%
Mhs $117 - $216 110%
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%
Us Department Of Labor $148 139%
Caresource $166 - $216 155%
Lutheran Advanced Network $178 167%
Lutheran Preferred $178 - $237 167%
Align In Work Comp $190 178%
One Call Work Comp $190 178%
Encore Work Comp In $213 199%
Managed Health Services $216 202%
Medicaid / KanCare $216 202%
Managed Health Services Exchange $237 222%
Workers Comp $237 222%
Encore Kba Epo $284 266%
Encore Kba Ppo $355 332%
Trma Inc $470 - $495 440%

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