CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Carolina East Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $161
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Carolina East Medical Center is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.51x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $146 (137%)
Insurance Median: $161 (151%)
Cash: $146 (137% of Medicare)
Ins. Median: $161 (151% 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.

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
Humana $27 - $100 25%
Inclusive Health (Nchirp)-All Plans $27 - $100 25%
Tricare $27 - $1,121 25%
Pamlico Co Jail-All Plans $32 - $298 30%
Craven Co. Jail Systems - All Plans $41 - $378 38%
Medcost Ppo Ultra (Employees) $76 - $701 71%
Medcost Ppo Employees And Retirees $80 - $736 75%
Blue Cross Blue Shield $83 - $769 78%
UnitedHealthcare $85 - $797 80%
Medcost Ppo City Employees $89 - $817 83%
Medcost Ppo County Employee $92 - $849 86%
Benefit Mgmt, Svcs-All Plans $103 - $953 96%
Medcost Benefit Svc-All Other Plans $107 - $991 100%
Aetna $108 - $993 101%
Acs Consult Svc Inc-All Plans $110 - $1,012 103%
Medcost Ppo Standard $110 - $1,012 103%
Cigna $111 - $1,020 104%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals