How Much Does an Ultrasound Abdomen Cost in Illinois?
Us exam abdom complete
$144Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, an ultrasound abdomen costs up to about $144 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Illinois averages $113, from $108 in Rest of Illinois to $118 in Suburban Chicago.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Illinois Medicare physician rate (2026)
-0.9% vs nationalAverage of 4 localities. Office range $107.89–$118.28.
What the whole procedure costs
The office rate above is what an imaging center, lab or office is paid for the whole test. In a hospital, the facility bills its own fee and the physician bills only the reading. These are 2026 national Medicare amounts.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. For a test like this the physician in a hospital bills only the reading (the professional component); outside a hospital one global fee covers the whole test, shown in the office rate above. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Illinois
Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
What ultrasound abdomen costs at hospitals near you
Everything above is a national average. The hospital you pick in Illinois moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
For example 60001.
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What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Illinois the office and hospital physician lines for this CPT differ by $74.86.
National vs Illinois
Where Illinois ranks for this CPT
CPT 76700 by Illinois locality
| Locality | Office |
|---|---|
| suburban chicago | $118.28 |
| chicago | $117.44 |
| east st. louis | $109.40 |
| rest of illinois | $107.89 |
PE GPCI ranges from 0.913 to 1.027 in Illinois. That index is why the same CPT is not one price statewide.
Ultrasound Abdomen and how Illinois is priced
Illinois uses one of the more detailed locality maps in the Midwest: Chicago has its own locality, the suburban collar counties are priced separately, the East St. Louis area carries its own locality tied to the St. Louis market, and the rest of the state shares a fourth. Approved amounts step down noticeably from the city and suburbs to downstate, so the same procedure prices differently in Chicago, Naperville, Belleville, and Springfield. This four-way split makes Illinois one of the states where a ZIP-level check genuinely changes the answer. Downstate rates align more closely with neighboring rural states than with Chicagoland.
Chicago is one of the country's great medical hubs, with multiple academic medical centers and deep specialist supply, and its suburbs support large competing systems of their own. Downstate Illinois is a different market: smaller cities like Peoria, Springfield, and Champaign serve wide rural areas, and the Metro East suburbs orient toward St. Louis providers. Where you sit on that map shapes both price and choice.
This procedure: A complete abdominal ultrasound uses sound waves, no radiation, to examine the liver, gallbladder, pancreas, kidneys, spleen, and major vessels in one session. It is a first-line test for right-upper-belly pain, suspected gallstones, abnormal liver blood tests, and follow-up of known findings. You fast for several hours beforehand so the gallbladder is full, then lie on a table while a technologist glides a warm gel-covered probe over your abdomen for 20 to 30 minutes.
What Is Ultrasound Abdomen?
A complete abdominal ultrasound uses sound waves, no radiation, to examine the liver, gallbladder, pancreas, kidneys, spleen, and major vessels in one session. It is a first-line test for right-upper-belly pain, suspected gallstones, abnormal liver blood tests, and follow-up of known findings. You fast for several hours beforehand so the gallbladder is full, then lie on a table while a technologist glides a warm gel-covered probe over your abdomen for 20 to 30 minutes.
What Affects the Cost
- –Hospital outpatient ultrasound departments charge notably more than independent imaging centers and many physician offices.
- –The complete study covers all upper abdominal organs; a limited single-organ study is a cheaper code when only one question needs answering.
- –The sonographer's images are read by a radiologist whose professional fee may bill separately.
- –Poor views from bowel gas or body habitus occasionally force a repeat study or escalation to CT, adding cost.
- –Findings like gallstones frequently lead to surgical consultation, making this scan a common gateway to a larger episode.
Questions to Ask Before Booking
- 1.Do I need the complete study, or would a limited single-organ ultrasound answer my question at a lower price?
- 2.What are your fasting instructions so the study does not have to be repeated?
- 3.Is the radiologist reading fee included in the quote?
- 4.What does this cost at your imaging center versus the hospital location?
- 5.If views are limited, would you move to CT, and what would that cost?
Other featured procedures in Illinois
Ultrasound Abdomen in other states
Ultrasound Abdomen in Illinois: questions
Under 2026 Medicare rates, an ultrasound abdomen costs up to about $144 in total at a hospital outpatient department, counting both the physician and the facility (national rates). Outside a hospital, at an independent imaging center, lab or office, Medicare's full rate in Illinois averages $113, from $108 in Rest of Illinois to $118 in Suburban Chicago. Enter a ZIP for the exact Illinois locality.
Yes. CMS splits Illinois into 4 payment localities. For this CPT the office physician fee spans $10.39 from the lowest to highest locality. Enter a ZIP code to see which Illinois locality applies to you, whether Chicago proper, the suburban collar counties, the Metro East near St. Louis, or downstate cities like Springfield, Peoria, and Champaign.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $23 for the office physician line or $8 for the hospital physician line in Illinois. Medigap may cover that 20%. This is not the hospital facility fee.
It depends on where the test is done. At an independent imaging center, lab or office, $113.25 is Medicare's full rate in Illinois, covering the test and the reading. In a hospital outpatient department the physician is paid only for the reading (about $38.39) and the hospital is paid separately, which brings the national total to up to about $144. Illinois ranks #32 of 51 states on the non-hospital rate (within 2% of the national office rate of $114.23).