CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Adena Regional Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $556
Cash Discount Price: $409
vs. Medicare Baseline: 5.21x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Adena Regional Medical Center is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $409. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.21x the Medicare baseline. Located in 272 Hospital Road, Chillicothe, OH.

Cash / Self-Pay

$409

Average discount available for prompt cash payment at this facility.

Insurance Median

$556

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: $409 (383%)

Insurance Median: $556 (521%)

Cash: $409 (383% of Medicare)

Ins. Median: $556 (521% 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 521% of the Medicare baseline (a markup of 421%). 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
Aetna	$101 - $584	95%
Buckeye Community Health Plan	$101	95%
Humana	$101 - $777	95%
Medical Mutual Of Ohio	$101 - $540	95%
Medigold	$101	95%
Molina	$101	95%
UnitedHealthcare	$101 - $590	95%
Care Source	$103	96%
Gateway Health	$103	96%
Molina Marketplace	$167	156%
Care Source Just4Me	$182	170%
Sidecar Health	$279	261%
Blue Cross Blue Shield	$372 - $520	348%
Cigna	$496 - $507	464%
Ohio Ppo Connect	$573	536%
The Health Plan	$573	536%
First Health	$642	601%
Ohio Health Choice	$651	609%
Healthsmart	$696	652%
Integrated Health Plan	$777	727%
Multiplan/Private Healthcare Systems	$777	727%
Three Rivers Network	$777	727%

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 $409.
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 Adena Regional Medical Center 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.