CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Highlands Cashiers Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $870
  • Cash Discount Price: $1,946
  • vs. Medicare Baseline: 8.15x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Highlands Cashiers Hospital is $870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,946. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.15x the Medicare baseline. Located in 190 Hospital Drive, Highlands, NC.
Cash / Self-Pay
$1,946

Average discount available for prompt cash payment at this facility.

Insurance Median
$870

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: $1,946 (1822%)
Insurance Median: $870 (815%)
Cash: $1,946 (1822% of Medicare)
Ins. Median: $870 (815% 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 815% of the Medicare baseline (a markup of 715%). 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
Apex Health $389 364%
Cigna $638 - $864 597%
Blue Cross Blue Shield $662 - $701 620%
United $672 - $1,180 629%
Wellcare $682 639%
Amerihealth $689 645%
Partners Health Management $695 651%
Vaya Health $695 651%
Amerihealth Caritas $740 693%
Caresource $856 801%
Medcost $913 - $1,098 855%
Aetna $934 - $1,415 874%
Magellan $1,168 1094%
Magellan Behavioral Health $1,168 1094%
Multiplan $1,557 1458%
Avalon Administrative Services $1,654 1549%
Prime Health $1,713 - $1,752 1604%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 190 Hospital Drive, Highlands, NC 28741
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals