CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Medical Center Enterprise

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $113
  • Cash Discount Price: $660
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Medical Center Enterprise is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $660. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$660

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $660 (618%)
Insurance Median: $113 (106%)
Cash: $660 (618% of Medicare)
Ins. Median: $113 (106% 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.

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
Al Maternity Waiver Program $38 36%
Medicaid / KanCare $50 - $69 47%
Tricare $86 81%
Blue Cross Blue Shield $89 - $146 83%
Humana $89 83%
Medicare (plans) $89 83%
UnitedHealthcare $89 - $224 83%
Covenant Hospice $90 84%
Dayspring Hospice $90 84%
Healthspring $90 84%
Node Champva $90 84%
Node Devoted Health Mcr Adv $90 84%
Node Hospice Non Par $90 84%
Node Va $90 84%
Select Health $90 84%
Southerncare Hospice $90 84%
Aetna $91 - $2,371 85%
Node Clover Mcr Adv $91 85%
Node Wellcare Mcr Adv $92 86%
Veterans Eval Services $92 86%
Eon Health $93 87%
Wiregrass Hospice $96 90%
Node Us Dept Of Labor $113 106%
Ambetter / Centene $135 126%
Cigna $152 - $957 142%
Occunet $158 148%
Self Pay $305 - $1,016 286%
American Employee Alliance $1,355 1269%
Alamed $2,032 1902%
Affordable Health $2,371 2220%
Health Choice $2,371 2220%
Novanet Ppo $2,371 2220%
Coventry Work Comp Al $2,492 2333%
Multiplan $2,506 - $2,675 2346%
Wc Dept Ind Relations $2,709 2536%
Corvel $2,879 2695%
Galaxy Health $3,048 2854%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals