CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Marshall County Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $485
  • Cash Discount Price: $770
  • vs. Medicare Baseline: 4.54x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Marshall County Hospital is $485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $770. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.54x the Medicare baseline. Located in 615 Old Symsonia Road, Benton, KY.
Cash / Self-Pay
$770

Average discount available for prompt cash payment at this facility.

Insurance Median
$485

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: $770 (721%)
Insurance Median: $485 (454%)
Cash: $770 (721% of Medicare)
Ins. Median: $485 (454% 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 454% of the Medicare baseline (a markup of 354%). 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
Blue Cross Blue Shield $476 - $641 446%
Humana $476 446%
Medicare (plans) $476 446%
Medicaid / KanCare $485 454%
UnitedHealthcare $485 - $614 454%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 615 Old Symsonia Road, Benton, KY 42025
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals