CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Athur M Blank Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $855
Cash Discount Price: $1,402
vs. Medicare Baseline: 8.00x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Athur M Blank Hospital is $855. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,402. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.00x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$1,402

Average discount available for prompt cash payment at this facility.

Insurance Median

$855

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: $1,402 (1313%)

Insurance Median: $855 (800%)

Cash: $1,402 (1313% of Medicare)

Ins. Median: $855 (800% 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 800% of the Medicare baseline (a markup of 700%). 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]	$430 - $768	403%
Caresource [61]	$442 - $790	414%
Amerigroup [102]	$463 - $828	433%
Cigna	$665 - $1,188	623%
Blue Cross Blue Shield	$667 - $1,755	624%
United [5]	$667 - $1,193	624%
Ambetter / Centene	$674 - $1,204	631%
Oscar [228]	$674 - $1,205	631%
Aetna	$677 - $1,210	634%
Caresource Marketplace Bronze/Silver/Gold [60]	$684 - $1,222	640%
Kaiser [6]	$685 - $1,224	641%
Sidecar Health [236]	$694 - $1,241	650%
Direct Employer Agreements [72]	$704 - $1,528	659%
Coventry [9]	$706 - $1,262	661%
Northeast Georgia Heatlh System [808]	$754 - $1,348	706%
Veracity Benefits [809]	$754 - $1,348	706%
First Health [74]	$755 - $1,350	707%
Phcs [93]	$855 - $1,528	800%
Secure Health [340]	$855 - $1,528	800%
Beech Street [71]	$905 - $1,618	847%
Multiplan [92]	$986 - $1,762	923%
Novanet [41]	$1,006 - $1,798	942%

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 $1,402.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.