CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Ochsner Choctaw General

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $161
Cash Discount Price: $302
vs. Medicare Baseline: 1.51x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Ochsner Choctaw General is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $302. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.51x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$302

Average discount available for prompt cash payment at this facility.

Insurance Median

$161

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: $302 (283%)

Insurance Median: $161 (151%)

Cash: $302 (283% of Medicare)

Ins. Median: $161 (151% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Humana	$29 - $284	27%
Blue Cross Blue Shield	$40 - $517	37%
Prime Health Services Ppo	$40 - $505	37%
UnitedHealthcare	$47 - $347	44%
Aetna	$62 - $410	58%
Cigna	$63 - $347	59%
Primewell Health Services Commercial Exchange Plan	$67 - $423	63%
Primewell Health Services – Commercial	$67 - $423	63%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$74 - $284	69%
Medicare (plans)	$74 - $327	69%
Ambetter / Centene	$75 - $287	70%
Select Administrative Services Network	$77 - $442	72%
Shared Health Mississippi	$77 - $298	72%
Claritev D/B/A Multiplan/Phcs/American Life Care	$80 - $473	75%
Medicaid / KanCare	$81 - $100	76%
Prime Health Services Ppo -Workers Comp	$100 - $504	94%
Cor Vel	$101 - $514	95%
Zelis	$114 - $473	107%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $302.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.