CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: The East Alabama Healthcare Authority

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $237
Cash Discount Price: $184
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at The East Alabama Healthcare Authority is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $184. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.22x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.

Cash / Self-Pay

$184

Average discount available for prompt cash payment at this facility.

Insurance Median

$237

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: $184 (172%)

Insurance Median: $237 (222%)

Cash: $184 (172% of Medicare)

Ins. Median: $237 (222% 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 222% of the Medicare baseline (a markup of 122%). 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
Aetna	$35 - $339	33%
Blue Cross Blue Shield	$35 - $327	33%
Cigna	$35 - $190	33%
Humana	$35 - $237	33%
Simpra	$35 - $96	33%
Viva	$35 - $239	33%
Novanet	$49 - $51	46%
Beechstreet	$92 - $288	86%
Alabama Crime Victims	$164 - $170	154%
Mcm Maxcare	$263 - $271	246%
Mega Life	$263 - $271	246%
UnitedHealthcare	$263 - $271	246%
Coventry First Health	$280 - $288	262%
Geha	$280 - $288	262%
Multiplan	$280 - $288	262%
Workers Comp	$280 - $288	262%
Trpn	$296 - $305	277%

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 $184.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The East Alabama Healthcare Authority is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.