CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Jeff Davis Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $402
  • Cash Discount Price: $318
  • vs. Medicare Baseline: 3.76x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Jeff Davis Hospital is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $318. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.76x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.
Cash / Self-Pay
$318

Average discount available for prompt cash payment at this facility.

Insurance Median
$402

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: $318 (298%)
Insurance Median: $402 (376%)
Cash: $318 (298% of Medicare)
Ins. Median: $402 (376% 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 376% of the Medicare baseline (a markup of 276%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $92 - $530 86%
Humana $94 - $841 88%
Peach_State $94 - $197 88%
Wellcare $94 - $197 88%
Pen_Network $123 115%
Medicare (plans) $147 - $310 138%
Blue Cross Blue Shield $150 - $742 140%
Care_Improvement_Plus $150 - $313 140%
Coventry_Hmo $331 - $693 310%
Coventry_Pos $331 - $693 310%
Uhc_Hmo $355 - $742 332%
Uhc_Indemnity $355 - $742 332%
Uhc_Ppo $355 - $742 332%
Coventry_Ppo $364 - $762 341%
Beech_Street $378 - $792 354%
Care_Source $378 - $792 354%
Cigna $378 - $792 354%
One_Health_Ppo $378 - $792 354%
Choicecare $402 - $841 376%
Community_Care_Network $402 - $841 376%
Georgia_Hospital_Network $402 - $841 376%
Industry_Buying_Group $402 - $841 376%
Novanet $402 - $841 376%
Principal_Health_Care_Of_Georgia $402 - $841 376%
Three_Rivers_Provider_Network $402 - $841 376%
Usa_Managed_Care $402 - $841 376%
Memorial_Health_Partners $426 - $891 399%
Tricare $440 - $920 412%
Multiplan $449 - $940 420%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 163 South Tallahassee Street, Hazlehurst, GA 31539
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals