CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: The Women's Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $76
  • Cash Discount Price: $462
  • vs. Medicare Baseline: 0.71x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at The Women's Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $462. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.71x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$462

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

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: $462 (433%)
Insurance Median: $76 (71%)
Cash: $462 (433% of Medicare)
Ins. Median: $76 (71% 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
Aetna $21 - $521 20%
Blue Cross Blue Shield $21 - $359 20%
Meridian Health Il $21 - $98 20%
Molina Il $21 - $98 20%
Caresource $26 - $98 24%
Caresource Hip $26 - $80 24%
Caresource In $26 - $80 24%
Chamber Care $26 - $548 24%
Humana $26 - $180 24%
Iu Health $26 - $391 24%
Mdwise Hip $26 - $80 24%
Mhs $26 - $98 24%
Mhs Behavioral $26 - $80 24%
Molina Ky $26 - $98 24%
Molina Ky Dual $26 - $98 24%
Passport Molina Ky $26 - $180 24%
Patoka Valley Health Care (80/20 Plan) $26 - $485 24%
Patoka Valley Health Care (90/10 Plan) $26 - $470 24%
UnitedHealthcare $26 - $626 24%
Wellcare Ky $26 - $180 24%
Ambetter / Centene $30 - $152 28%
Immergrun $31 - $327 29%
Caresource Marketplace (Just4Me) $34 - $147 32%
One Care $34 - $548 32%
Hst $35 - $147 33%
Alliance Coal $36 - $543 34%
Allied National/Zelis - Freedom Plan $36 - $240 34%
Claimdoc $37 - $142 35%
Amish $39 - $128 37%
Encorecombined $41 - $548 38%
Encoreprime $41 - $532 38%
Hope Trust $41 - $162 38%
Noncontracted $41 - $157 38%
Self Pay $45 - $462 42%
Cigna $46 - $564 43%
Claritev (Formerly Phcs/Mulitplan) $46 - $540 43%
First Health/Coventry $46 - $579 43%
Healthlink $46 - $665 43%
Sagamore $46 - $564 43%
Center Care $77 - $611 72%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals