CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $106
Cash Discount Price: $469
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Atrium Health Navicent the Medical Center is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $469. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.

Cash / Self-Pay

$469

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: $469 (439%)

Insurance Median: $106 (99%)

Cash: $469 (439% 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
Aetna	$36 - $647	34%
Blue Cross Blue Shield	$36 - $112	34%
Georgia Health Advantage	$36 - $104	34%
Humana	$36 - $644	34%
UnitedHealthcare	$36 - $939	34%
Care Source	$37 - $106	35%
Clover	$37 - $106	35%
Eon Health	$37 - $106	35%
Pruitt Health	$38 - $107	36%
Alliant	$43 - $124	40%
Ambetter / Centene	$49 - $478	46%
Cigna	$87 - $336	81%
Securehealth	$96 - $328	90%
Kaiser	$117 - $609	110%
Multiplan	$609 - $750	570%
Ibg	$662	620%
Novanet	$750	702%
Three Rivers Provider Network	$796	745%
Beechstreet	$871	815%

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 $469.
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 Atrium Health Navicent the Medical Center 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.