CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Atrium Health Lincoln

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $221
Cash Discount Price: $665
vs. Medicare Baseline: 2.07x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Atrium Health Lincoln is $221. 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 2.07x the Medicare baseline. Located in 433 McAlister Rd, Lincolnton, NC.

Cash / Self-Pay

$665

Average discount available for prompt cash payment at this facility.

Insurance Median

$221

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: $221 (207%)

Cash: $665 (623% of Medicare)

Ins. Median: $221 (207% 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 207% of the Medicare baseline (a markup of 107%). 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
Trillium	$33 - $157	31%
Alliance	$34 - $156	32%
Amerihealth Caritas	$34 - $150	32%
Carolina Complete Health	$34 - $153	32%
Healthy Blue	$34 - $153	32%
Partners	$34 - $154	32%
UnitedHealthcare	$34 - $758	32%
Vaya	$34 - $154	32%
Wellcare	$34 - $153	32%
Cigna	$36 - $898	34%
Humana	$36 - $107	34%
Aetna	$37 - $1,131	35%
Orthocarolina	$45 - $131	42%
Blue Cross Blue Shield	$168 - $677	157%
Choicecare	$178 - $1,091	167%
Medcost	$196 - $870	184%
Ambetter / Centene	$435 - $495	407%
Employers Health Network	$588	551%
Physician Reach Out	$665	623%
Gmmi	$865	810%
Quik Trip	$865	810%
First Health	$1,131	1059%
Beechstreet	$1,198	1122%
Private Health Care Systems	$1,198	1122%
Multiplan	$1,264	1183%

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 $665.
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 Atrium Health Lincoln 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.