CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Blount Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $252
  • Cash Discount Price: $405
  • vs. Medicare Baseline: 2.36x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Blount Memorial Hospital is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $405. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.36x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.
Cash / Self-Pay
$405

Average discount available for prompt cash payment at this facility.

Insurance Median
$252

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: $405 (379%)
Insurance Median: $252 (236%)
Cash: $405 (379% of Medicare)
Ins. Median: $252 (236% 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 236% of the Medicare baseline (a markup of 136%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
UnitedHealthcare $45 - $252 42%
Medicaid / KanCare $74 - $201 69%
Blue Cross Blue Shield $98 - $351 92%
Humana $98 92%
Medicare (plans) $98 - $102 92%
Tricare $99 93%
Cigna $102 - $654 95%
Mvp Health Care [3037] $150 140%
Ambetter / Centene $154 144%
Consociate Health Contracted [4835] $218 204%
Fairos/Occunet Contracted [4837] $228 213%
Golden Rule Insurance Company [2991] $252 236%
Oxford Health Plans [2992] $252 236%
Prisma Health Seniorcare Pace - Midlands [5400] $303 284%
Prisma Health Seniorcare Pace-Upstate [5200] $303 284%
Bob Jones Univ-Pai [821] $411 385%
Promise Health Plan Contracted [2401] $458 - $785 429%
Orangeburg Senior Helping Center Pace [5401] $523 490%
Preferred Administrators Contracted [2839] $916 858%
Medcost [2940] $968 - $1,086 906%
Atlantic Packaging Contracted [4833] $981 918%
Aps Healthcare System [2981] $1,046 979%
Multiplan/Phcs Contracted [2950] $1,164 1090%
Aetna $1,177 1102%
Meritain Health Contracted [2200] $1,177 1102%
Nippon [2300] $1,177 1102%
Vsp Vision Care [2986] $1,177 1102%
First Health Contracted [2952] $1,216 1138%
Furman Int/Allen University Student [2951] $1,216 1138%
Quiktrip-First Health [3067] $1,216 1138%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 907 E Lamar Alexander Parkway, Maryville, TN 37804
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals