CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Atrium Health Cleveland

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $267
Cash Discount Price: $665
vs. Medicare Baseline: 2.50x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Atrium Health Cleveland is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $665. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.50x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.

Cash / Self-Pay

$665

Average discount available for prompt cash payment at this facility.

Insurance Median

$267

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: $665 (623%)

Insurance Median: $267 (250%)

Cash: $665 (623% of Medicare)

Ins. Median: $267 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Trillium	$33 - $197	31%
Alliance	$34 - $223	32%
Amerihealth Caritas	$34 - $188	32%
Carolina Complete Health	$34 - $191	32%
Healthy Blue	$34 - $191	32%
Partners	$34 - $186	32%
UnitedHealthcare	$34 - $711	32%
Vaya	$34 - $193	32%
Wellcare	$34 - $191	32%
Cigna	$36 - $1,065	34%
Humana	$36 - $107	34%
Aetna	$37 - $1,025	35%
Blue Cross Blue Shield	$168 - $545	157%
Choicecare	$178 - $1,091	167%
Medcost	$196 - $882	184%
Ambetter / Centene	$425 - $483	398%
Employers Health Network	$588	551%
Physician Reach Out	$665	623%
Magellan	$798	747%
Gmmi	$865	810%
Quik Trip	$865	810%
Carolina Behavioral Health	$958 - $1,065	897%
Healthgram	$1,065	997%
First Health	$1,131	1059%
Lifesynch Community Choice Care	$1,131	1059%
Private Health Care Systems	$1,198	1122%
Beechstreet	$1,224	1146%
Multiplan	$1,264	1183%

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 $665.
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 Atrium Health Cleveland 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.