CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Prisma Health Oconee Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $152
  • Cash Discount Price: $1,009
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Prisma Health Oconee Memorial Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,009. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.42x the Medicare baseline. Located in 298 Memorial Dr, Seneca, SC.
Cash / Self-Pay
$1,009

Average discount available for prompt cash payment at this facility.

Insurance Median
$152

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: $1,009 (945%)
Insurance Median: $152 (142%)
Cash: $1,009 (945% of Medicare)
Ins. Median: $152 (142% 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.

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
Tricare $105 98%
Blue Cross Blue Shield $106 - $367 99%
Champva [3049] $106 99%
Cigna $106 - $535 99%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $106 99%
Deseret Mutual Ins Co [3066] $106 99%
Generic Skilled Nursing [3196] $106 99%
Hospice Contracted [1500] $106 99%
Hospice Non Contracted [3190] $106 99%
Medicare (plans) $106 - $148 99%
Triwest Healthcare Alliance Vcp [902] $106 99%
Va Community Care Network-Vaccn [903] $106 99%
Veterans Administration [3194] $106 99%
Humana $109 - $158 102%
UnitedHealthcare $110 - $507 103%
Aetna $112 - $1,227 105%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $112 105%
Healthy Conn Prime-First Choice Vip Care [5300] $113 106%
Healthy Conn Prime-Molina Healthcare [5330] $117 110%
First Choice Benefits Mgmt [3074] $148 139%
Medicaid / KanCare $148 - $239 139%
Workers Comp [600] $149 140%
Bluechoice [810] $153 - $495 143%
Ambetter / Centene $196 184%
Sc Dept Of Corrections [2998] $210 197%
Scdc-Sc Dept Of Corrections [7232] $210 197%
Prisma Health Seniorcare Pace - Midlands [5400] $360 337%
Prisma Health Seniorcare Pace-Upstate [5200] $360 337%
Planned Administrators [820] $367 344%
Bob Jones Univ-Pai [821] $411 385%
Golden Rule Insurance Company [2991] $507 475%
Oxford Health Plans [2992] $507 475%
Zzumr-Salt Lake City Ut [3169] $507 475%
Evernorth Behavioral Contracted [2982] $535 501%
Mvp Health Care [3037] $535 501%
Promise Health Plan Contracted [2401] $544 - $932 509%
Orangeburg Senior Helping Center Pace [5401] $621 581%
Meritain Health Contracted [2200] $994 - $1,227 931%
Preferred Administrators Contracted [2839] $1,087 1018%
Medcost [2940] $1,149 - $1,289 1076%
Atlantic Packaging Contracted [4833] $1,165 1091%
Aps Healthcare System [2981] $1,242 1163%
Multiplan/Phcs Contracted [2950] $1,382 1294%
Vsp Vision Care [2986] $1,398 1309%
First Health Contracted [2952] $1,444 1352%
Furman Int/Allen University Student [2951] $1,444 1352%
Quiktrip-First Health [3067] $1,444 1352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 298 Memorial Dr, Seneca, SC 29672
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals