CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Rush Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $579
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 5.42x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Rush Memorial Hospital is $579. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.42x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$579

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: $232 (217%)
Insurance Median: $579 (542%)
Cash: $232 (217% of Medicare)
Ins. Median: $579 (542% 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 542% of the Medicare baseline (a markup of 442%). 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
Cigna $20 - $1,691 19%
Health Net $20 - $622 19%
UnitedHealthcare $23 - $1,691 22%
Aetna $26 - $1,945 24%
Caresource Mcr Adv $26 - $655 24%
Consumers Life Ins-All Plans $26 - $1,902 24%
Humana $26 - $1,945 24%
Blue Cross Blue Shield $27 - $2,345 25%
Today'S Option Mcr Adv-All Plans $27 - $675 25%
Viant Beech St Mcr Adv $27 - $675 25%
My True Advantage - All Plans $28 - $655 26%
Coventry/First Health-All Plans $29 - $1,902 27%
Caresource Marketplace-All Other Plans $36 - $1,048 34%
Multiplan-All Plans $36 - $1,966 34%
Phcs-All Plans $44 - $1,691 41%
Encore Health Services-All Plans $45 - $2,071 42%
Siho-All Plans $45 - $1,945 42%
Sagamore-All Plans $384 - $1,945 360%
Community Health Alliance-All Plans $393 - $1,987 368%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1300 N Main St, Rushville, IN 46173
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals