CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: High Point Regional Health System

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $324
  • Cash Discount Price: $382
  • vs. Medicare Baseline: 3.03x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at High Point Regional Health System is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $382. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.03x the Medicare baseline. Located in 601 N Elm St, High Point, NC.
Cash / Self-Pay
$382

Average discount available for prompt cash payment at this facility.

Insurance Median
$324

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: $382 (358%)
Insurance Median: $324 (303%)
Cash: $382 (358% of Medicare)
Ins. Median: $324 (303% 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 303% of the Medicare baseline (a markup of 203%). 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
Amerihealth $111 - $248 104%
Carolina Complete $111 104%
Healthy Blue $111 104%
Partners $111 104%
UnitedHealthcare $112 - $510 105%
Vaya $112 105%
Wellcare $112 105%
Alliance $113 106%
Trillium $114 107%
Medcost $204 - $489 191%
Aetna $227 - $496 213%
Oscar $229 - $305 214%
Ambetter / Centene $244 228%
Blue Cross Blue Shield $326 - $524 305%
Cigna $419 392%
Directnet $451 422%
Private Healthcare Systems $626 586%
Multiplan $687 643%
Humana $710 - $725 665%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 N Elm St, High Point, NC 27261
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals