CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Ochsner Choctaw General

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $133
Cash Discount Price: $246
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Ochsner Choctaw General is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $246. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$246

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $246 (230%)

Insurance Median: $133 (125%)

Cash: $246 (230% of Medicare)

Ins. Median: $133 (125% 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	$21 - $236	20%
Blue Cross Blue Shield	$26 - $341	24%
Prime Health Services Ppo	$29 - $419	27%
UnitedHealthcare	$34 - $288	32%
Aetna	$46 - $341	43%
Cigna	$46 - $288	43%
Primewell Health Services Commercial Exchange Plan	$49 - $351	46%
Primewell Health Services – Commercial	$49 - $351	46%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$55 - $236	51%
Medicare (plans)	$55 - $271	51%
Ambetter / Centene	$56 - $238	52%
Select Administrative Services Network	$56 - $367	52%
Shared Health Mississippi	$58 - $248	54%
Claritev D/B/A Multiplan/Phcs/American Life Care	$60 - $393	56%
Medicaid / KanCare	$75 - $86	70%
Prime Health Services Ppo -Workers Comp	$75 - $418	70%
Cor Vel	$76 - $427	71%
Zelis	$84 - $393	79%

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 $246.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.