CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Colleton Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $742
Cash Discount Price: $3,762
vs. Medicare Baseline: 6.95x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Colleton Medical Center is $742. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,762. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.95x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$3,762

Average discount available for prompt cash payment at this facility.

Insurance Median

$742

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: $3,762 (3522%)

Insurance Median: $742 (695%)

Cash: $3,762 (3522% of Medicare)

Ins. Median: $742 (695% 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 695% of the Medicare baseline (a markup of 595%). 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
Blue Choice	$128	120%
United	$128 - $2,074	120%
Select Health	$135	126%
Absolute Total Care	$186 - $703	174%
Sc State Employees	$195 - $210	183%
Blue Choice Health Plan	$318 - $332	298%
Blue Cross Blue Shield	$318 - $3,711	298%
Nhc Advantage	$742	695%
Pruitt Health	$742	695%
Employers Health Network	$1,758	1646%
Value Option	$1,953	1828%
Vocational Rehab	$2,109	1975%
Medcost	$2,203 - $2,851	2063%
Aetna	$2,262	2118%
Cigna	$2,523	2362%
Humana	$2,539 - $3,515	2377%
Mhnet	$2,930	2743%
Evernorth	$3,125	2926%
Multiplan	$3,320	3108%
North American Administrators	$3,320	3108%
Prime Health	$3,320	3108%
First Health	$3,515	3291%
Novanet	$3,515	3291%

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 $3,762.
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 Colleton 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.