CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Doctors Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $480
Cash Discount Price: $2,777
vs. Medicare Baseline: 4.49x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Doctors Hospital is $480. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,777. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.49x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.

Cash / Self-Pay

$2,777

Average discount available for prompt cash payment at this facility.

Insurance Median

$480

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: $2,777 (2600%)

Insurance Median: $480 (449%)

Cash: $2,777 (2600% of Medicare)

Ins. Median: $480 (449% 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 449% of the Medicare baseline (a markup of 349%). 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	$40 - $172	37%
Blue Choice	$92	86%
Health One Alliance	$98 - $1,393	92%
Aetna	$140 - $1,669	131%
Ambetter / Centene	$142	133%
United	$245 - $1,363	229%
Prime Health	$267	250%
Rockport United Network	$273	256%
Identity Mco	$279	261%
Amerigroup	$359 - $430	336%
Absolute Total Care	$455 - $545	426%
Nhc Advantage	$480 - $575	449%
Pruitt Health	$480 - $575	449%
Peach State	$505 - $606	473%
Wellcare	$505 - $606	473%
Centurion	$699 - $838	654%
Americas 1St Choice	$707 - $848	662%
Medcost	$1,266 - $1,935	1185%
Multiplan	$1,516 - $2,725	1419%
Performax	$1,718 - $2,059	1608%
First Health	$1,895 - $2,271	1774%
Employer'S Health Network	$2,021 - $2,423	1892%
Novanet	$2,274 - $2,725	2129%

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 $2,777.
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 Doctors Hospital 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.