CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Pender Memorial Hospital

Billing Code: 76700 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$240

about 2.2× the $107 Medicare rate · typically $156–$378

modeled estimate · not a bill or quote

What this hospital charges insurers

$166

Below the fair price — a good deal

about $74 under the fair price · 1.6× Medicare

Medicare pays $107 Fair price $240 This hospital $166 Cash price $261 Hospital's list price $580

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $100 Priciest $166

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, abdomen (complete) is about $240 (about 2.2× the $107 Medicare rate). Pender Memorial Hospital charges insurers about $166, or about $261 in cash — below the fair price — a good deal. Located in Burgaw, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$423	396%
Blue Cross Blue Shieldmajor	$116 - $214	109%
Aetnamajor	$161 - $493	151%
Cignamajor	$161 - $256	151%
Humanamajor	$149 - $499	140%
Ambetter (Centene)	$219	205%
AmeriHealth	$166	155%
CareSource	$232	217%
WellCare	$166	155%
+ 7 smaller / regional plans	$157 - $563

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 261), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76700.

Insurance Before you use insurance

Call your insurance company to confirm Pender Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76700.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Pender Memorial Hospital

Compare: Ultrasound, abdomen (complete) at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.