CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: USA Health Children's & Women's Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $137
Cash Discount Price: $470
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at USA Health Children's & Women's Hospital is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $470. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.28x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$470

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $470 (440%)

Insurance Median: $137 (128%)

Cash: $470 (440% of Medicare)

Ins. Median: $137 (128% 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
Central Healthcare Services	$60 - $235	56%
Magnolia Health	$81	76%
Truecare	$81	76%
UnitedHealthcare	$81 - $254	76%
Molina Chip	$90	84%
Blue Cross Blue Shield	$112	105%
Aetna	$114 - $258	107%
Devoted Health	$114 - $329	107%
Humana	$114 - $306	107%
Viva Health	$114 - $235	107%
Wellcare	$114	107%
Molina Marketplace	$126	118%
Ambetter / Centene	$137	128%
Mississippi Physicians Care Network (Mpcn)	$154	144%
Cigna	$224 - $306	210%
Multiplan	$306 - $329	286%
Novanet	$423	396%

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 $470.
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 USA Health Children's & Women's Hospital 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.