CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Vincent's Birmingham

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $218
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.04x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St Vincent's Birmingham is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.04x the Medicare baseline. Located in 810 St Vincent's Drive, Birmingham, AL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

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%)
Insurance Median: $218 (204%)
Ins. Median: $218 (204% 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 204% of the Medicare baseline (a markup of 104%). 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
Blue Cross Blue Shield $92 86%
Cooper Green $96 90%
UnitedHealthcare $96 - $218 90%
Humana $97 - $218 91%
Aetna $98 - $1,238 92%
Cigna $98 - $158 92%
Prime Health Services $100 - $2,083 94%
Ambetter / Centene $103 - $131 96%
Seven Corners $129 121%
Viva $1,485 1390%
Construction Claims Management $1,788 1674%
Corvel $1,788 1674%
Alamed $1,893 1772%
Comp One $1,893 1772%
Multiplan $1,980 1854%
Pnoa $1,980 1854%
Novanet $2,104 1970%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 810 St Vincent's Drive, Birmingham, AL 35205
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals