CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Atrium Health Navicent Rehabilitation Hopsital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $108
Cash Discount Price: $294
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Atrium Health Navicent Rehabilitation Hopsital is $108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.01x the Medicare baseline. Located in 3351 Northside Dr, Macon, GA.

Cash / Self-Pay

$294

Average discount available for prompt cash payment at this facility.

Insurance Median

$108

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: $294 (275%)

Insurance Median: $108 (101%)

Cash: $294 (275% of Medicare)

Ins. Median: $108 (101% 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	$36 - $405	34%
Blue Cross Blue Shield	$36 - $112	34%
Georgia Health Advantage	$36 - $106	34%
Humana	$36 - $403	34%
UnitedHealthcare	$36 - $939	34%
Care Source	$37 - $108	35%
Clover	$37 - $108	35%
Eon Health	$37 - $108	35%
Pruitt Health	$38 - $107	36%
Alliant	$43 - $128	40%
Ambetter / Centene	$49 - $299	46%
Cigna	$87 - $336	81%
Securehealth	$96 - $253	90%
Kaiser	$117 - $382	110%
Ibg	$141 - $415	132%
Multiplan	$382 - $470	358%
Novanet	$470	440%
Three Rivers Provider Network	$499	467%
Beechstreet	$546	511%

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 $294.
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 Rehabilitation Hopsital 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.