CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Marys Good Samaritan Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $336
Cash Discount Price: $809
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St Marys Good Samaritan Hospital is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $809. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.15x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.

Cash / Self-Pay

$809

Average discount available for prompt cash payment at this facility.

Insurance Median

$336

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: $809 (757%)

Insurance Median: $336 (315%)

Cash: $809 (757% of Medicare)

Ins. Median: $336 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Peach State	$106	99%
Wellcare	$106 - $336	99%
Blue Cross Blue Shield	$240 - $899	225%
Aetna	$336 - $995	315%
Ambetter / Centene	$336	315%
Care Improvement Plus	$336	315%
Caresource	$336	315%
Cigna	$336 - $1,020	315%
Coventry	$336 - $933	315%
Eon Health Plan	$336	315%
Humana	$336 - $933	315%
Kaiser Permanente	$336	315%
Molina	$336	315%
Pruitthealth Premier	$336	315%
Todays Options Pffs	$336	315%
Todays Options Ppo	$336	315%
UnitedHealthcare	$336 - $2,632	315%
Vaccn United	$336	315%
First Health	$933	874%
Phcs	$933	874%
Meritain	$995	932%
Multiplan	$1,057 - $1,082	990%
Nova	$1,057 - $1,120	990%
Three Rivers Provider Network	$1,120	1049%
Amerigroup	$1,244	1165%

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 $809.
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 St Marys Good Samaritan 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.