CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Perry County Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $662
Cash Discount Price: $789
vs. Medicare Baseline: 6.20x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Perry County Memorial Hospital is $662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $789. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.20x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$789

Average discount available for prompt cash payment at this facility.

Insurance Median

$662

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: $789 (739%)

Insurance Median: $662 (620%)

Cash: $789 (739% of Medicare)

Ins. Median: $662 (620% 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 620% of the Medicare baseline (a markup of 520%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Medicaid / KanCare	$259 - $1,127	242%
Veterans Administration	$282 - $1,127	264%
Bc 130	$293 - $900	274%
Group Insurance	$293 - $1,127	274%
Medicare (plans)	$293	274%
Workers Compensation	$564	528%
Nsa	$662 - $696	620%
Guarantor Liable	$789 - $1,127	739%
Pcmh Insurnace	$879 - $1,127	823%
Secondary Insurance	$900	843%
UnitedHealthcare	$900	843%
Operating Engineers	$958	897%
Boilermakers Healthcare	$980	918%
Cigna	$980	918%
Great West	$980 - $1,127	918%
Sagxxxx	$980	918%
Champus	$1,127	1055%
Ngs American, Inc	$1,127	1055%
Patoka Valley	$1,127	1055%
Southwire	$1,127	1055%
Tricare	$1,127	1055%
Wausau Benefits	$1,127	1055%

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 $789.
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 Perry County 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.