CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Pulaski Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $104
Cash Discount Price: $719
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Pulaski Memorial Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $719. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$719

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $719 (673%)

Insurance Median: $104 (97%)

Cash: $719 (673% of Medicare)

Ins. Median: $104 (97% 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	$34 - $1,535	32%
Ambetter / Centene	$36 - $602	34%
Blue Cross Blue Shield	$36 - $1,293	34%
Caresource Mcaid Hip	$36 - $602	34%
Caresource Mcare Hmo	$36 - $602	34%
Cenpatico Mcaid Hip	$36 - $602	34%
Humana	$36 - $1,563	34%
Mdwise Mcaid Hcc	$36 - $70	34%
Mdwise Mcaid Hhw	$36 - $70	34%
Mdwise Mcaid Hip - All Other Plans	$36 - $602	34%
Mhs Mcaid Hip	$36 - $602	34%
Mhs Mcare Allwell	$36 - $609	34%
Multiplan - All Plans	$36 - $1,749	34%
Caresource Exch Hmo Hix - All Other Plans	$45 - $753	42%
Encore Ppo - All Other Plans	$55 - $1,652	51%
Cigna	$62 - $1,846	58%
Sagamore - All Other Plans	$62 - $1,469	58%
Sagamore Rose Acre	$62 - $1,448	58%
Caresource Mcaid Hhw	$70 - $104	66%
Cenpatico Mcaid Hhw - All Other Plans	$70 - $104	66%
Mhs Mcaid Hhw/Hcc	$70 - $104	66%
Community Health Alliance - All Plans	$71 - $1,730	66%
Encore Workers Comp	$101 - $1,749	95%
Aetna	$700	655%

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 $719.
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 Pulaski 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.