CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: The McDowell Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $903
Cash Discount Price: $1,946
vs. Medicare Baseline: 8.45x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at The McDowell Hospital is $903. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,946. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.45x the Medicare baseline. Located in 430 Rankin Drive P O Box 730, Marion, NC.

Cash / Self-Pay

$1,946

Average discount available for prompt cash payment at this facility.

Insurance Median

$903

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: $1,946 (1822%)

Insurance Median: $903 (845%)

Cash: $1,946 (1822% of Medicare)

Ins. Median: $903 (845% 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 845% of the Medicare baseline (a markup of 745%). 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	$259	242%
United	$263 - $1,000	246%
Wellcare	$267	250%
Amerihealth	$270	253%
Partners Health Management	$272	255%
Vaya Health	$272	255%
Apex Health	$389	364%
Cigna	$668 - $1,041	625%
Caresource	$856	801%
Medcost	$954 - $1,654	893%
Magellan	$1,168	1094%
Magellan Behavioral Health	$1,168	1094%
Aetna	$1,407	1317%
Multiplan	$1,557	1458%
Avalon Administrative Services	$1,654	1549%
Prime Health	$1,713 - $1,752	1604%

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 $1,946.
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 The McDowell 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.