CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: North Carolina Baptist Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $322
Cash Discount Price: $487
vs. Medicare Baseline: 3.01x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at North Carolina Baptist Hospital is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $487. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.01x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.

Cash / Self-Pay

$487

Average discount available for prompt cash payment at this facility.

Insurance Median

$322

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: $487 (456%)

Insurance Median: $322 (301%)

Cash: $487 (456% of Medicare)

Ins. Median: $322 (301% 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 301% of the Medicare baseline (a markup of 201%). 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
Aetna	$103 - $850	96%
Apex	$103	96%
Blue Cross Blue Shield	$103 - $383	96%
Cigna	$103 - $600	96%
Devoted	$103	96%
Healthteam	$103	96%
UnitedHealthcare	$103 - $345	96%
Wellcare	$103 - $229	96%
Humana	$104 - $547	97%
Medicare (plans)	$104	97%
Liberty	$118	110%
Medcost	$188 - $665	176%
Amerihealth	$214 - $270	200%
Carolina Complete	$214 - $226	200%
Health Blue	$214 - $226	200%
Partners	$214 - $226	200%
Vaya	$216 - $228	202%
Alliance	$218 - $230	204%
Trillium	$220 - $233	206%
Ambetter / Centene	$256 - $270	240%
Oscar	$284 - $360	266%
Directnet	$560 - $591	524%
Cone Health	$663 - $700	621%
Healthgram	$663 - $700	621%
First Carolina Care	$758 - $800	710%
Private Healthcare Systems	$777 - $820	727%
Multiplan	$852 - $900	798%

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 $487.
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 North Carolina Baptist Hospital 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.