CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Flowers Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $415
  • Cash Discount Price: $875
  • vs. Medicare Baseline: 3.89x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Flowers Hospital is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $875. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.89x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$875

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: $875 (819%)
Insurance Median: $415 (389%)
Cash: $875 (819% 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.

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
Veterans Eval Services $92 86%
Alabama Rehab $96 90%
Medicaid / KanCare $96 - $104 90%
Tricare $96 90%
Blue Cross Blue Shield $99 - $246 93%
Humana $99 93%
Medicare (plans) $99 93%
Node Viva Mcr Adv $99 93%
UnitedHealthcare $99 - $224 93%
Select Health $100 94%
Care Improvement Plus $101 95%
Cigna $101 - $193 95%
Compassionate Hands $101 95%
Covenant Hospice $101 95%
Dayspring Hospice $101 95%
Node Champva $101 95%
Node Devoted Health Mcr Adv $101 95%
Node Hospice Non Par $101 95%
Node Va $101 95%
Southern Care Hospice $101 95%
Vistacare Hospice $101 95%
Wiregrass Hospice $101 95%
Aetna $102 - $2,840 95%
Node Clover Health Mcr Adv $102 95%
Node Wellcare Mcr Adv $103 96%
Eon Health Care $104 97%
Prime Health $106 - $2,744 99%
Node Us Dept Of Labor $126 118%
Ambetter / Centene $151 141%
Occunet $176 165%
Self Pay $584 - $1,167 547%
S & S Healthcare $972 910%
Choicecare Commercial $1,362 1275%
American Employee Alliance $1,556 1457%
Coventry Healthcare $1,945 - $2,970 1821%
Viva Health $2,334 2185%
Multiplan $2,528 - $3,112 2367%
Standard Textile $2,723 2549%
Alamed Wc $2,744 2569%
Health Choice $2,840 2659%
Equian $2,918 - $3,067 2732%
Qhp $2,918 2732%
Novanet $3,112 2914%
Alabama Work Comp $3,229 3023%
Ccn/Mednet Ppo $3,306 3095%
Corvel $3,306 3095%
Industry Buying Group $3,306 3095%
Galaxy Health $3,501 3278%
Health Payors Org $3,501 3278%
National Provider Net $3,501 3278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals