CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Rush Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $54
Cash Discount Price: $143
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Rush Memorial Hospital is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.51x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$143

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

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: $143 (134%)

Insurance Median: $54 (51%)

Cash: $143 (134% of Medicare)

Ins. Median: $54 (51% 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 - $36	29%
Humana	$35 - $36	33%
Aetna	$36	34%
Caresource Mcr Adv	$36	34%
Consumers Life Ins-All Plans	$36	34%
Blue Cross Blue Shield	$37 - $127	35%
Today'S Option Mcr Adv-All Plans	$37	35%
Viant Beech St Mcr Adv	$37	35%
My True Advantage - All Plans	$38	36%
Caresource Marketplace-All Other Plans	$49	46%
Multiplan-All Plans	$50	47%
Phcs-All Plans	$59	55%
Encore Health Services-All Plans	$62	58%
Siho-All Plans	$62	58%
Cigna	$68 - $122	64%
Health Net	$68 - $122	64%
Coventry/First Health-All Plans	$95 - $171	89%

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 $143.
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 Rush 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.