CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Flowers Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $1,958
  • Cash Discount Price: $701
  • vs. Medicare Baseline: 18.33x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Flowers Hospital is $1,958. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $701. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.33x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$701

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,958

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: $701 (656%)
Insurance Median: $1,958 (1833%)
Cash: $701 (656% of Medicare)
Ins. Median: $1,958 (1833% 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 1833% of the Medicare baseline (a markup of 1733%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Alabama Rehab $50 47%
Medicaid / KanCare $50 - $69 47%
Veterans Eval Services $92 86%
Tricare $96 90%
Blue Cross Blue Shield $99 - $162 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 - $2,419 95%
Node Clover Health Mcr Adv $102 95%
Node Wellcare Mcr Adv $103 96%
Eon Health Care $104 97%
Prime Health $106 - $2,338 99%
Node Us Dept Of Labor $126 118%
Ambetter / Centene $151 141%
Occunet $176 165%
Self Pay $452 - $994 423%
S & S Healthcare $753 - $828 705%
Choicecare Commercial $1,055 - $1,160 988%
American Employee Alliance $1,205 - $1,326 1128%
Coventry Healthcare $1,506 - $2,531 1410%
Viva Health $1,808 - $1,988 1693%
Multiplan $1,958 - $2,651 1833%
Standard Textile $2,109 - $2,320 1975%
Alamed Wc $2,126 - $2,338 1990%
Health Choice $2,199 - $2,419 2059%
Equian $2,260 - $2,613 2116%
Qhp $2,260 - $2,486 2116%
Novanet $2,410 - $2,651 2256%
Alabama Work Comp $2,501 - $2,751 2342%
Ccn/Mednet Ppo $2,561 - $2,817 2398%
Corvel $2,561 - $2,817 2398%
Industry Buying Group $2,561 - $2,817 2398%
Galaxy Health $2,712 - $2,983 2539%
Health Payors Org $2,712 - $2,983 2539%
National Provider Net $2,712 - $2,983 2539%

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