CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Atrium Health Floyd Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $431
Cash Discount Price: $1,179
vs. Medicare Baseline: 4.04x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Atrium Health Floyd Medical Center is $431. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,179. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.04x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$1,179

Average discount available for prompt cash payment at this facility.

Insurance Median

$431

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: $1,179 (1104%)

Insurance Median: $431 (404%)

Cash: $1,179 (1104% of Medicare)

Ins. Median: $431 (404% 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 404% of the Medicare baseline (a markup of 304%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$104 - $1,760	97%
Caresource	$104 - $402	97%
Cigna	$104 - $1,414	97%
Georgia Assurance	$104	97%
Humana	$104 - $1,532	97%
UnitedHealthcare	$104 - $1,768	97%
Aetna	$105 - $1,603	98%
Wellcare	$106	99%
Clover	$107	100%
Alliant Health Plans	$155 - $943	145%
Ambetter / Centene	$155	145%
Occunet	$207	194%
Amerigroup	$399	374%
Peach State Health Plan	$402	376%
Awc Networks	$460	431%
Oscar Health Plan	$460 - $825	431%
Beacon	$1,178	1103%
Evernorth	$1,178	1103%
Multiplan	$1,650	1545%
Beech Street	$1,838	1721%
Private Health Care Systems	$2,003	1875%

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 $1,179.
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 Atrium Health Floyd Medical Center 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.