CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Colleton Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $633
Cash Discount Price: $2,537
vs. Medicare Baseline: 5.93x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Colleton Medical Center is $633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,537. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.93x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$2,537

Average discount available for prompt cash payment at this facility.

Insurance Median

$633

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: $2,537 (2375%)

Insurance Median: $633 (593%)

Cash: $2,537 (2375% of Medicare)

Ins. Median: $633 (593% 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 593% of the Medicare baseline (a markup of 493%). 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	$92	86%
United	$92 - $1,399	86%
Select Health	$102	95%
Sc State Employees	$145 - $162	136%
Absolute Total Care	$186 - $474	174%
Blue Choice Health Plan	$318 - $332	298%
Blue Cross Blue Shield	$318 - $2,502	298%
Nhc Advantage	$500	468%
Pruitt Health	$500	468%
Employers Health Network	$1,185	1109%
Value Option	$1,317	1233%
Vocational Rehab	$1,422	1331%
Medcost	$1,486 - $1,923	1391%
Aetna	$1,525	1428%
Cigna	$1,702	1593%
Humana	$1,712 - $2,371	1603%
Mhnet	$1,976	1850%
Evernorth	$2,107	1973%
Multiplan	$2,239	2096%
North American Administrators	$2,239	2096%
Prime Health	$2,239	2096%
First Health	$2,371	2220%
Novanet	$2,371	2220%

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 $2,537.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.