CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Atrium Health Navicent Peach

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $120
Cash Discount Price: $284
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Atrium Health Navicent Peach is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 1960 Highway 247 Connector, Byron, GA.

Cash / Self-Pay

$284

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $284 (266%)

Insurance Median: $120 (112%)

Cash: $284 (266% of Medicare)

Ins. Median: $120 (112% 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	$41 - $335	38%
Blue Cross Blue Shield	$41 - $119	38%
Georgia Health Advantage	$41 - $119	38%
Humana	$41 - $483	38%
UnitedHealthcare	$41 - $358	38%
Care Source	$42 - $122	39%
Clover	$42 - $122	39%
Eon Health	$42 - $122	39%
Alliant	$43 - $278	40%
Pruitt Health	$43 - $124	40%
Ambetter / Centene	$47 - $290	44%
Cigna	$87 - $414	81%
Securehealth	$96 - $369	90%
Multiplan	$369 - $454	345%
Novanet	$454	425%
Three Rivers Provider Network	$483	452%
Beechstreet	$528	494%

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 $284.
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 Peach 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.