CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $446
  • Cash Discount Price: $665
  • vs. Medicare Baseline: 4.18x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Carolinas Medical Center/Behav Health is $446. 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 4.18x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.
Cash / Self-Pay
$665

Average discount available for prompt cash payment at this facility.

Insurance Median
$446

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: $446 (418%)
Cash: $665 (623% of Medicare)
Ins. Median: $446 (418% 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 418% of the Medicare baseline (a markup of 318%). 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
Partners $33 - $293 31%
Alliance $34 - $347 32%
Amerihealth Caritas $34 - $290 32%
Carolina Complete Health $34 - $1,331 32%
Healthy Blue $34 - $296 32%
Trillium $34 - $311 32%
UnitedHealthcare $34 - $676 32%
Vaya $34 - $299 32%
Wellcare $34 - $296 32%
Blue Cross Blue Shield $36 - $771 34%
Cigna $36 - $1,065 34%
Humana $36 - $1,091 34%
Aetna $37 - $971 35%
Ortho Carolina $45 - $133 42%
Molina $110 103%
Choicecare $178 - $985 167%
Medcost $196 - $785 184%
Sandhills $294 275%
Ambetter / Centene $387 - $628 362%
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%
First Health $1,065 - $1,171 997%
Healthgram $1,065 997%
Private Health Care Systems $1,065 - $1,091 997%
Provider Select $1,078 - $1,198 1009%
Lifesynch Community Choice Care $1,091 1021%
Beechstreet $1,158 - $1,171 1084%
Multiplan $1,198 1122%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Blythe Blvd, Charlotte, NC 28203
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals