CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Frye Regional Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $249
  • Cash Discount Price: $1,089
  • vs. Medicare Baseline: 2.33x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Frye Regional Medical Center is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,089. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.33x the Medicare baseline. Located in 420 N Center St, Hickory, NC.
Cash / Self-Pay
$1,089

Average discount available for prompt cash payment at this facility.

Insurance Median
$249

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: $1,089 (1020%)
Insurance Median: $249 (233%)
Cash: $1,089 (1020% of Medicare)
Ins. Median: $249 (233% 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 233% of the Medicare baseline (a markup of 133%). 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
Healthyblue Nc $99 93%
Humana $100 - $290 94%
UnitedHealthcare $100 - $275 94%
Aetna $102 - $125 95%
Ambetter / Centene $210 197%
Blue Cross Blue Shield $246 - $271 230%
Cigna $252 236%
Amerihealth Caritas North Carolina $275 257%
Carolina Complete Health Inc. $275 257%
Partners Health Management $275 257%
Wellcare Of North Carolina, Inc $277 259%
Hancock &Amp; Moore $300 281%
Rhf Investments $300 281%
Sherrill Furniture $309 289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals