CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: North Carolina Baptist Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $240
  • Cash Discount Price: $363
  • vs. Medicare Baseline: 2.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at North Carolina Baptist Hospital is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $363. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.25x the Medicare baseline. Located in Medical Center Boulevard, Winston-Salem, NC.
Cash / Self-Pay
$363

Average discount available for prompt cash payment at this facility.

Insurance Median
$240

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: $363 (340%)
Insurance Median: $240 (225%)
Cash: $363 (340% of Medicare)
Ins. Median: $240 (225% 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 225% of the Medicare baseline (a markup of 125%). 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
Aetna $103 - $634 96%
Apex $103 96%
Blue Cross Blue Shield $103 - $286 96%
Cigna $103 - $448 96%
Devoted $103 96%
Healthteam $103 96%
UnitedHealthcare $103 - $257 96%
Wellcare $103 - $171 96%
Humana $104 - $408 97%
Medicare (plans) $104 97%
Liberty $118 110%
Medcost $140 - $496 131%
Amerihealth $160 - $201 150%
Carolina Complete $160 - $169 150%
Health Blue $160 - $169 150%
Partners $160 - $169 150%
Vaya $161 - $170 151%
Alliance $163 - $172 153%
Trillium $165 - $174 154%
Ambetter / Centene $191 - $201 179%
Oscar $212 - $269 198%
Directnet $418 - $441 391%
Cone Health $495 - $522 463%
Healthgram $495 - $522 463%
First Carolina Care $566 - $597 530%
Private Healthcare Systems $580 - $612 543%
Multiplan $636 - $671 595%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Medical Center Boulevard, Winston-Salem, NC 27157
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals