CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $544
  • Cash Discount Price: $581
  • vs. Medicare Baseline: 5.09x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Uofl Health - Shelbyville Hospital is $544. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $581. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.09x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.
Cash / Self-Pay
$581

Average discount available for prompt cash payment at this facility.

Insurance Median
$544

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: $581 (544%)
Insurance Median: $544 (509%)
Cash: $581 (544% of Medicare)
Ins. Median: $544 (509% 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 509% of the Medicare baseline (a markup of 409%). 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
Humana $91 - $258 85%
Senior Care Communty Of Ky $96 90%
Blue Cross Blue Shield $100 - $658 94%
Cigna $100 94%
Essence Health $100 94%
Va Ccn $100 94%
Devoted $101 95%
Signature $103 - $765 96%
Communicare $105 98%
Passport $105 - $765 98%
Velocity $120 - $1,499 112%
Key Benefit Administrators $130 122%
Wellcare $135 - $245 126%
UnitedHealthcare $245 - $730 229%
Aetna $258 242%
Prime Group Health $544 - $1,300 509%
Encore $918 859%
Multiplan $1,010 - $1,377 946%
Omca $1,454 1361%
Corvel $1,530 1432%
Cshn $1,530 1432%
Health Smart $1,530 1432%
National Comp Care $1,530 1432%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 Hospital Drive, Shelbyville, KY 40065
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals