CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Athur M Blank Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,136
Cash Discount Price: $1,733
vs. Medicare Baseline: 10.64x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Athur M Blank Hospital is $1,136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,733. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.64x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$1,733

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,136

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: $1,733 (1623%)

Insurance Median: $1,136 (1064%)

Cash: $1,733 (1623% of Medicare)

Ins. Median: $1,136 (1064% 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 1064% of the Medicare baseline (a markup of 964%). 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
Peachstate [43]	$571 - $909	535%
Caresource [61]	$587 - $935	550%
Amerigroup [102]	$615 - $979	576%
Cigna	$884 - $1,407	828%
Blue Cross Blue Shield	$887 - $2,077	830%
United [5]	$887 - $1,412	830%
Ambetter / Centene	$895 - $1,425	838%
Oscar [228]	$896 - $1,426	839%
Aetna	$900 - $1,432	843%
Caresource Marketplace Bronze/Silver/Gold [60]	$908 - $1,446	850%
Kaiser [6]	$910 - $1,449	852%
Sidecar Health [236]	$923 - $1,468	864%
Direct Employer Agreements [72]	$936 - $1,809	876%
Coventry [9]	$938 - $1,493	878%
Northeast Georgia Heatlh System [808]	$1,003 - $1,596	939%
Veracity Benefits [809]	$1,003 - $1,596	939%
First Health [74]	$1,004 - $1,597	940%
Phcs [93]	$1,136 - $1,809	1064%
Secure Health [340]	$1,136 - $1,809	1064%
Beech Street [71]	$1,203 - $1,915	1126%
Multiplan [92]	$1,310 - $2,085	1226%
Novanet [41]	$1,337 - $2,128	1252%

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 $1,733.
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 Athur M Blank 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.