CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Grady Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $106
Cash Discount Price: $2,181
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Grady Memorial Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,181. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$2,181

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $2,181 (2042%)

Insurance Median: $106 (99%)

Cash: $2,181 (2042% of Medicare)

Ins. Median: $106 (99% 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
Amerigroup	$36 - $355	34%
Caresource	$36 - $325	34%
Peach State	$36 - $325	34%
Aetna	$37 - $971	35%
Ambetter / Centene	$37 - $323	35%
Blue Cross Blue Shield	$37 - $1,745	35%
Cigna	$37 - $1,290	35%
Humana	$37 - $106	35%
Kaiser	$37 - $1,653	35%
Medicare (plans)	$37 - $106	35%
UnitedHealthcare	$37 - $1,570	35%
Vaccn	$37 - $106	35%
Wellcare	$37 - $106	35%
Clear Spring Health	$39 - $111	37%
Clover	$39 - $111	37%
Usp Naphcare	$41 - $1,309	38%
Oscar Health	$52 - $1,418	49%
Multiplan	$1,679	1572%

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 $2,181.
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 Grady Memorial 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.