CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Uofl Health - Shelbyville Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $415
Cash Discount Price: $443
vs. Medicare Baseline: 3.89x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Uofl Health - Shelbyville Hospital is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $443. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.89x the Medicare baseline. Located in 727 Hospital Drive, Shelbyville, KY.

Cash / Self-Pay

$443

Average discount available for prompt cash payment at this facility.

Insurance Median

$415

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: $443 (415%)

Insurance Median: $415 (389%)

Cash: $443 (415% of Medicare)

Ins. Median: $415 (389% 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 389% of the Medicare baseline (a markup of 289%). 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
Humana	$91 - $197	85%
Senior Care Communty Of Ky	$96	90%
Blue Cross Blue Shield	$100 - $502	94%
Cigna	$100	94%
Essence Health	$100	94%
Va Ccn	$100	94%
Devoted	$101	95%
Signature	$103 - $584	96%
Communicare	$105	98%
Passport	$105 - $584	98%
Velocity	$120 - $1,144	112%
Key Benefit Administrators	$130	122%
Wellcare	$135 - $187	126%
UnitedHealthcare	$187 - $557	175%
Aetna	$197	184%
Prime Group Health	$415 - $992	389%
Encore	$700	655%
Multiplan	$770 - $1,050	721%
Omca	$1,109	1038%
Corvel	$1,167	1093%
Cshn	$1,167	1093%
Health Smart	$1,167	1093%
National Comp Care	$1,167	1093%

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 $443.
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 Uofl Health - Shelbyville 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.