CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $104
  • Cash Discount Price: $396
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Atrium Health Navicent the Medical Center is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $396. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.
Cash / Self-Pay
$396

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $396 (371%)
Insurance Median: $104 (97%)
Cash: $396 (371% of Medicare)
Ins. Median: $104 (97% 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.

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 $26 - $546 24%
Blue Cross Blue Shield $26 - $104 24%
Georgia Health Advantage $26 - $104 24%
Humana $26 - $543 24%
UnitedHealthcare $26 - $939 24%
Care Source $27 - $106 25%
Clover $27 - $106 25%
Eon Health $27 - $106 25%
Pruitt Health $27 - $104 25%
Alliant $31 - $124 29%
Ambetter / Centene $35 - $403 33%
Cigna $63 - $253 59%
Securehealth $69 - $277 65%
Kaiser $84 - $514 79%
Multiplan $514 - $633 481%
Ibg $559 523%
Novanet $633 593%
Three Rivers Provider Network $672 629%
Beechstreet $736 689%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hemlock Street, Macon, GA 31201
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals