CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Holmes County Hospital and Clinics

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $666
  • Cash Discount Price: $356
  • vs. Medicare Baseline: 6.24x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Holmes County Hospital and Clinics is $666. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $356. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.24x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.
Cash / Self-Pay
$356

Average discount available for prompt cash payment at this facility.

Insurance Median
$666

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: $356 (333%)
Insurance Median: $666 (624%)
Cash: $356 (333% of Medicare)
Ins. Median: $666 (624% 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 624% of the Medicare baseline (a markup of 524%). 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.

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
Ms-Can-Molina-Lex $83 78%
Ms-Can-Magnolia-Lex $84 79%
Ms-Can-Truecare-Lex $85 80%
Molina-Chip-Lex $178 167%
Magnolia-Chip-Lex $182 170%
Truecare-Chip-Lex $182 170%
Advhealth-Lex $242 227%
Blue Cross Blue Shield $355 332%
Cigna $516 483%
Tricare $546 511%
Humana $555 520%
Mpcn-Lex $578 541%
Medadv_Uhc-Lex $605 566%
Firstchoice-Lex $623 583%
United-Lex $664 622%
Ambetter / Centene $668 625%
Medadv_Primewell-Lex $668 625%
Medicare (plans) $668 625%
Primewell-Lex $668 625%
United-Options-Lex $668 625%
Va_Ccn-Lex $668 625%
Medadv_Uhcdsnp-Lex $688 644%
Wellcare-Lex $688 644%
Ppoplus $694 650%
Devoted_Health-Lex $701 656%
Firsthealth-Lex $712 667%
Multiplan-Lex $712 667%
Aetna $756 708%
Phcs-Lex $801 750%
Molina_Exchange-Lex $890 833%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 239 Bowling Green Road, Lexington, MS 39095
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - State
  • Hospital Type: Critical Access Hospitals