CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: St Marys Good Samaritan Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $141
  • Cash Discount Price: $339
  • vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at St Marys Good Samaritan Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.32x the Medicare baseline. Located in 5401 Lake Oconee Parkway, Greensboro, GA.
Cash / Self-Pay
$339

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $339 (317%)
Insurance Median: $141 (132%)
Cash: $339 (317% of Medicare)
Ins. Median: $141 (132% 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
Peach State $77 72%
Wellcare $77 - $141 72%
Blue Cross Blue Shield $101 - $377 95%
Aetna $141 - $418 132%
Ambetter / Centene $141 132%
Care Improvement Plus $141 132%
Caresource $141 132%
Cigna $141 - $428 132%
Coventry $141 - $392 132%
Eon Health Plan $141 132%
Humana $141 - $392 132%
Kaiser Permanente $141 132%
Molina $141 132%
Pruitthealth Premier $141 132%
Todays Options Pffs $141 132%
Todays Options Ppo $141 132%
UnitedHealthcare $141 - $2,632 132%
Vaccn United $141 132%
First Health $392 367%
Phcs $392 367%
Meritain $418 391%
Multiplan $444 - $454 416%
Nova $444 - $470 416%
Three Rivers Provider Network $470 440%
Amerigroup $522 489%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5401 Lake Oconee Parkway, Greensboro, GA 30642
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals