CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Novant Health Presbyterian Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $442
Cash Discount Price: $422
vs. Medicare Baseline: 4.14x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Novant Health Presbyterian Medical Center is $442. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $422. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.14x the Medicare baseline. Located in 200 Hawthorne Lane Box 33549, Charlotte, NC.

Cash / Self-Pay

$422

Average discount available for prompt cash payment at this facility.

Insurance Median

$442

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: $422 (395%)

Insurance Median: $442 (414%)

Cash: $422 (395% of Medicare)

Ins. Median: $442 (414% 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 414% of the Medicare baseline (a markup of 314%). 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
Blue Cross Blue Shield	$88 - $566	82%
Humana	$102 - $690	95%
Pace Of The Southern Piedmont	$102	95%
UnitedHealthcare	$102 - $560	95%
Aetna	$104 - $767	97%
Cigna	$105 - $494	98%
Liberty Health	$107	100%
Carolina Complete	$132 - $167	124%
Nc Department Of Public Safety	$132 - $203	124%
Amerihealth	$135 - $170	126%
Wellcare	$135 - $170	126%
Caresource North Carolina	$250 - $316	234%
Atlantic Corporation Dba Atlantic Packaging	$349 - $441	327%
Amps	$417 - $527	390%
Plotkin Health	$455 - $575	426%
Medcost	$539 - $719	505%
Primary Physician Care	$562 - $710	526%
Multiplan	$569 - $719	533%
Phcs	$569 - $719	533%
Employers Choice Network	$736 - $930	689%
Three Rivers Provider Network	$736 - $930	689%

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 $422.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Novant Health Presbyterian Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.