CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $925
Cash Discount Price: $2,024
vs. Medicare Baseline: 8.66x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Memorial Mission Hospital and Asheville Surgery Ce is $925. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,024. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.66x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$2,024

Average discount available for prompt cash payment at this facility.

Insurance Median

$925

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: $2,024 (1895%)

Insurance Median: $925 (866%)

Cash: $2,024 (1895% of Medicare)

Ins. Median: $925 (866% 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 866% of the Medicare baseline (a markup of 766%). 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
United	$245 - $1,242	229%
Blue Cross Blue Shield	$358 - $386	335%
Wellcare	$368 - $398	345%
Amerihealth	$372 - $402	348%
Partners Health Management	$375 - $405	351%
Vaya Health	$375 - $405	351%
Apex Health	$389 - $420	364%
Cigna	$722 - $1,047	676%
Caresource	$856 - $925	801%
Medcost	$1,096 - $1,787	1026%
Magellan	$1,168 - $1,261	1094%
Magellan Behavioral Health	$1,168 - $1,261	1094%
Aetna	$1,407 - $1,520	1317%
Multiplan	$1,557 - $1,682	1458%
Avalon Administrative Services	$1,654 - $1,787	1549%
Prime Health	$1,713 - $1,892	1604%

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 $2,024.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.