CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Prisma Health Greenville Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $104
  • Cash Discount Price: $710
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Prisma Health Greenville Memorial Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $710. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 701 Grove Road, Greenville, SC.
Cash / Self-Pay
$710

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $710 (665%)
Insurance Median: $104 (97%)
Cash: $710 (665% of Medicare)
Ins. Median: $104 (97% 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
Aetna $40 - $863 37%
Blue Cross Blue Shield $40 - $520 37%
Champva [3049] $40 - $99 37%
Cigna $40 - $535 37%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $40 - $99 37%
Deseret Mutual Ins Co [3066] $40 - $99 37%
Generic Skilled Nursing [3196] $40 - $99 37%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $40 - $104 37%
Hospice Contracted [1500] $40 - $99 37%
Hospice Non Contracted [3190] $40 - $99 37%
Medicare (plans) $40 - $112 37%
Triwest Healthcare Alliance Vcp [902] $40 - $99 37%
UnitedHealthcare $40 - $507 37%
Va Community Care Network-Vaccn [903] $40 - $99 37%
Veterans Administration [3194] $40 - $99 37%
Workers Comp [600] $40 - $139 37%
Ambetter / Centene $73 - $182 68%
Tricare $99 93%
Humana $101 - $135 95%
Healthy Conn Prime-First Choice Vip Care [5300] $105 98%
Healthy Conn Prime-Molina Healthcare [5330] $109 102%
First Choice Benefits Mgmt [3074] $112 105%
Medicaid / KanCare $112 - $168 105%
Scdc-Sc Dept Of Corrections [7232] $145 136%
Bluechoice [810] $247 - $548 231%
Prisma Health Seniorcare Pace - Midlands [5400] $253 237%
Prisma Health Seniorcare Pace-Upstate [5200] $253 237%
Bob Jones Univ-Pai [821] $297 278%
Promise Health Plan Contracted [2401] $382 - $655 358%
Orangeburg Senior Helping Center Pace [5401] $437 409%
Golden Rule Insurance Company [2991] $507 475%
Oxford Health Plans [2992] $507 475%
Zzumr-Salt Lake City Ut [3169] $507 475%
Planned Administrators [820] $520 487%
Evernorth Behavioral Contracted [2982] $535 501%
Mvp Health Care [3037] $535 501%
Magellan Behavioral Contracted [3198] $655 613%
Meritain Health Contracted [2200] $699 - $863 654%
Preferred Administrators Contracted [2839] $764 715%
Medcost [2940] $808 - $906 756%
Atlantic Packaging Contracted [4833] $819 767%
Aps Healthcare System [2981] $874 818%
Multiplan/Phcs Contracted [2950] $972 910%
Vsp Vision Care [2986] $983 920%
First Health Contracted [2952] $1,016 951%
Furman Int/Allen University Student [2951] $1,016 951%
Quiktrip-First Health [3067] $1,016 951%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 Grove Road, Greenville, SC 29605
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals