CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: University Health System, Inc

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $103
  • Cash Discount Price: $204
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at University Health System, Inc is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $204. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.96x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
$204

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $204 (191%)
Insurance Median: $103 (96%)
Cash: $204 (191% of Medicare)
Ins. Median: $103 (96% 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
UnitedHealthcare $31 - $570 29%
Aetna $36 - $570 34%
Blue Cross Blue Shield $36 - $522 34%
Choicecare $36 - $51 34%
Cigna $36 - $619 34%
Humana $36 - $97 34%
Nhc $36 - $103 34%
American Health $37 - $103 35%
Bluecare $37 - $39 35%
Tenncare $39 37%
Coventry $52 - $570 49%
First Health $57 53%
Multiplan $57 - $489 53%
Initial Group $59 55%
Beechstreet $69 - $611 65%
Novanet $69 65%
Wellpoint $99 - $103 93%
Devoted Health $101 95%
Wellcare-Windsor Medadv $102 95%
Medicare (plans) $103 - $104 96%
Fentress County Sheriffs Dept $326 305%
Nx Health $489 458%
Phcs $489 458%
Naphcare $530 496%
Prime Health $611 - $815 572%
Seven Corners $611 572%
Usa $652 610%
Evolutions $734 687%
Galaxy $734 687%
Healthsmart $734 687%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals