CMS Price Transparency Data
Ultrasound, abdomen (complete)
Facility: Cannon Memorial Hospital
Billing Code: 76700 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76700
- Insurance Median: $96
- Cash Discount Price: $110
- vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Cannon Memorial Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 123 W G Acker Drive, Pickens, SC.
Cash / Self-Pay
$110
Average discount available for prompt cash payment at this facility.
Insurance Median
$96
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: $110 (103%)
Insurance Median: $96 (90%)
Cash: $110 (103% of Medicare)
Ins. Median: $96 (90% 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 |
|---|---|---|
| Employee Benefit Management Services [869] | $12 - $420 | 11% |
| Preferred Administrators [19] | $14 - $900 | 13% |
| Phcs [940] | $21 - $990 | 20% |
| Medicaid / KanCare | $28 - $1,500 | 26% |
| Humana | $29 - $1,080 | 27% |
| Select Health Of Sc [637] | $32 - $347 | 30% |
| Aetna | $35 - $852 | 33% |
| Blue Choice Health Plan [922] | $35 - $905 | 33% |
| Blue Cross Blue Shield | $35 - $1,425 | 33% |
| Medicare (plans) | $35 - $1,500 | 33% |
| UnitedHealthcare | $35 - $1,500 | 33% |
| Vaccn - Va Community Care Network [16] | $35 - $104 | 33% |
| Veterans Administration [633] | $35 - $104 | 33% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $36 - $107 | 34% |
| Absolute Total Care Mcr Plans [41] | $36 - $107 | 34% |
| Cigna | $36 - $1,500 | 34% |
| Devoted Health Alt Payer [9401] | $36 - $106 | 34% |
| Devoted Health [94] | $36 - $106 | 34% |
| Molina Dual Options Alt Payer [1501] | $36 - $107 | 34% |
| Molina Dual Options [15] | $36 - $107 | 34% |
| Absolute Total Care [58] | $37 - $364 | 35% |
| Champva [604] | $37 - $108 | 35% |
| First Choice Vip Careplus Alt Payer [3301] | $37 - $109 | 35% |
| First Choice Vip [33] | $37 - $109 | 35% |
| Nhc Advantage Alt Payer [6101] | $37 - $109 | 35% |
| Nhc Advantage [61] | $37 - $109 | 35% |
| Tricare | $37 - $108 | 35% |
| Bright Health Alt Payer [1001] | $41 - $123 | 38% |
| Geha [302] | $48 - $800 | 45% |
| Golden Rule Ins Co [584] | $48 - $800 | 45% |
| Ambetter / Centene | $50 - $148 | 47% |
| First Choice Next [96] | $51 - $150 | 48% |
| Molina Marketplace [97] | $51 - $150 | 48% |
| Bright Health [11] | $52 - $149 | 49% |
| Mail Handlers Benefit Plan [327] | $56 - $852 | 52% |
| Rural Carrier Benefit Plan [406] | $56 - $852 | 52% |
| Workers Compensation [622] | $57 - $167 | 53% |
| Edison Health Solutions [95] | $61 - $181 | 57% |
| Healthscope [98] | $61 - $181 | 57% |
| Nalc Health Benefit Plan [291] | $64 - $892 | 60% |
| Planned Administrators [886] | $74 - $840 | 69% |
| Thomas Cooper & Company [315] | $74 - $840 | 69% |
| Medcost [206] | $94 - $1,350 | 88% |
| Other Hospital Payers [1991] | $122 - $1,500 | 114% |
| Coventry Health [245] | $938 - $1,080 | 878% |
| American Continental Ins [778] | $1,500 | 1404% |
| American Republic Life Ins [722] | $1,500 | 1404% |
| Business Office [6000] | $1,500 | 1404% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $1,500 | 1404% |
| First Health [946] | $1,500 | 1404% |
| Guarantee Trust Life Insurance [236] | $1,500 | 1404% |
| Home Health Infusion Payer [6001] | $1,500 | 1404% |
| Manhattan Life Ins Co [932] | $1,500 | 1404% |
| Miscellaneous Commercial [1] | $1,500 | 1404% |
| New Era Life Ins Co [437] | $1,500 | 1404% |
| Non-Contracted [22] | $1,500 | 1404% |
| Physicians Mutual [773] | $1,500 | 1404% |
| Reference Based Pricing/Limited Plan [21] | $1,500 | 1404% |
| State Farm Ins Co [373] | $1,500 | 1404% |
| Sterling Investors Life [244] | $1,500 | 1404% |
| Supermed/Med Mutual Of Ohio [539] | $1,500 | 1404% |
| United American Ins Co [277] | $1,500 | 1404% |