CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Pender Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $166
Cash Discount Price: $261
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Pender Memorial Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.55x the Medicare baseline. Located in 507 E Fremont St, Burgaw, NC.

Cash / Self-Pay

$261

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $261 (244%)

Insurance Median: $166 (155%)

Cash: $261 (244% of Medicare)

Ins. Median: $166 (155% 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.

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	$116 - $214	109%
Humana	$149 - $499	140%
Pace Of The Southern Piedmont	$157	147%
New Hanover Health	$160	150%
Aetna	$161 - $493	151%
Cigna	$161 - $256	151%
Carolina Complete	$163	153%
Nc Department Of Public Safety	$163 - $313	153%
Amerihealth	$166	155%
Wellcare	$166	155%
Ambetter / Centene	$219	205%
Liberty Health	$222	208%
Caresource North Carolina	$232	217%
Plotkin Health	$348	326%
UnitedHealthcare	$423	396%
Medcost	$437 - $487	409%
Employers Choice Network	$563	527%
Three Rivers Provider Network	$563	527%

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 $261.
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 Pender Memorial 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.