CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: St Vincent's Birmingham

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $193
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at St Vincent's Birmingham is $193. 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 1.81x 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
$193

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: $193 (181%)
Ins. Median: $193 (181% 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
Ambetter / Centene $77 - $131 72%
Blue Cross Blue Shield $92 86%
Cooper Green $96 90%
UnitedHealthcare $96 - $218 90%
Humana $97 - $164 91%
Aetna $98 - $914 92%
Cigna $98 - $158 92%
Prime Health Services $100 - $1,538 94%
Seven Corners $129 121%
Viva $1,097 1027%
Construction Claims Management $1,321 1237%
Corvel $1,321 1237%
Alamed $1,398 1309%
Comp One $1,398 1309%
Multiplan $1,462 1369%
Pnoa $1,462 1369%
Novanet $1,554 1455%

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