CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Garrett Regional Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $369
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.45x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Garrett Regional Medical Center is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.45x the Medicare baseline. Located in 251 North Fourth Street, Oakland, MD.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$369

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%)
Insurance Median: $369 (345%)
Ins. Median: $369 (345% 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 345% of the Medicare baseline (a markup of 245%). 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
Caresource Wv $352 330%
Aetna $361 - $391 338%
Carefirst D-Snp $361 338%
Carefirst Ppo $361 338%
Humana $361 338%
Medicare (plans) $361 338%
Provider Partners $361 338%
Senior Advantage $361 338%
United Mine Workers Of America $361 - $391 338%
UnitedHealthcare $361 - $391 338%
Amerigroup $369 345%
Carefirst Community Health Plan $369 345%
Coventry $369 345%
Highmark Health Options Wv $369 345%
Maryland Physicians Care $369 345%
The Health Plan Of Wv $369 345%
Wellpoint Wv $369 345%
Multiplan $371 347%
Upmc Commercial $387 362%
Alliance Coal $391 366%
American Correctional Healthcare $391 366%
Carefirst Commercial $391 366%
Cigna $391 366%
First Health $391 366%
John Hopkins Healthcare $391 366%
Peak Commercial $391 366%
Stratose/ 4 Most $391 366%
The Health Plan $391 366%
The Health Plan Commercial $391 366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 251 North Fourth Street, Oakland, MD 21550
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals