CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Blue Ridge Regional Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $790
  • Cash Discount Price: $1,946
  • vs. Medicare Baseline: 7.40x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Blue Ridge Regional Hospital is $790. 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 7.40x the Medicare baseline. Located in 125 Hospital Drive, Spruce Pine, NC.
Cash / Self-Pay
$1,946

Average discount available for prompt cash payment at this facility.

Insurance Median
$790

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: $790 (740%)
Cash: $1,946 (1822% of Medicare)
Ins. Median: $790 (740% 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 740% of the Medicare baseline (a markup of 640%). 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
Blue Cross Blue Shield $311 - $327 291%
United $331 - $921 310%
Wellcare $336 315%
Amerihealth $340 318%
Partners Health Management $343 321%
Vaya Health $343 321%
Aetna $389 - $1,407 364%
Apex Health $389 364%
Cigna $662 - $796 620%
Amerihealth Caritas $720 674%
Caresource $856 801%
Medcost $907 - $1,008 849%
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: 125 Hospital Drive, Spruce Pine, NC 28777
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals