CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Perry County Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $304
Cash Discount Price: $703
vs. Medicare Baseline: 2.85x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Perry County Memorial Hospital is $304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $703. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.85x the Medicare baseline. Located in 8885 Sr 237, Tell City, IN.

Cash / Self-Pay

$703

Average discount available for prompt cash payment at this facility.

Insurance Median

$304

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: $703 (658%)

Insurance Median: $304 (285%)

Cash: $703 (658% of Medicare)

Ins. Median: $304 (285% 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 285% of the Medicare baseline (a markup of 185%). 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	$80 - $1,013	75%
Veterans Administration	$87 - $1,013	81%
Bc 130	$91 - $809	85%
Group Insurance	$91 - $1,013	85%
Medicare (plans)	$91 - $263	85%
Workers Compensation	$174 - $506	163%
Nsa	$205 - $625	192%
Guarantor Liable	$244 - $1,013	228%
Pcmh Insurnace	$272 - $1,013	255%
Secondary Insurance	$279 - $809	261%
UnitedHealthcare	$279 - $809	261%
Operating Engineers	$297 - $861	278%
Boilermakers Healthcare	$304 - $881	285%
Cigna	$304 - $881	285%
Great West	$304 - $1,013	285%
Sagxxxx	$304 - $881	285%
Champus	$349 - $1,013	327%
Ngs American, Inc	$349 - $1,013	327%
Patoka Valley	$349 - $1,013	327%
Southwire	$349 - $1,013	327%
Tricare	$349 - $1,013	327%
Wausau Benefits	$349 - $1,013	327%

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 $703.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.