CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: T J Samson Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $96
Cash Discount Price: $346
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at T J Samson Community Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 1301 North Race Street, Glasgow, KY.

Cash / Self-Pay

$346

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $346 (324%)

Insurance Median: $96 (90%)

Cash: $346 (324% of Medicare)

Ins. Median: $96 (90% 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
Blue Cross Blue Shield	$36 - $824	34%
Center Care Select - All Plans	$36 - $824	34%
Signature Health - All Plans	$36 - $107	34%
Wellcare Mcr Adv - All Other Plans	$36 - $106	34%
Molina Mcr Adv	$37 - $108	35%
Devoted Mcr Adv - All Plans	$38 - $112	36%
Humana	$38 - $106	36%
Caresource - All Plans	$47 - $159	44%
Molina Marketplace - All Other Plans	$47 - $159	44%
Aetna	$88 - $96	82%
Molina Mcaid	$91 - $99	85%
Wellcare Mcaid	$96 - $104	90%
UnitedHealthcare	$754	706%
Phcs/Multiplan - All Plans	$912	854%
First Health - All Plans	$922	863%

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 $346.
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 T J Samson Community 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.