CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: University Health System, Inc

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $103
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at University Health System, Inc is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. 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
$179

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: $179 (168%)
Insurance Median: $103 (96%)
Cash: $179 (168% 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
Humana $23 - $97 22%
UnitedHealthcare $23 - $502 22%
Aetna $26 - $502 24%
Blue Cross Blue Shield $26 - $459 24%
Choicecare $26 - $37 24%
Cigna $26 - $544 24%
Nhc $26 - $103 24%
American Health $27 - $103 25%
Bluecare $27 - $28 25%
Tenncare $28 26%
Coventry $38 - $502 36%
Nx Health 1 $41 38%
Nx Health 2 $41 38%
First Health $42 39%
Multiplan $42 - $430 39%
Initial Group $43 40%
Beechstreet $50 - $537 47%
Novanet $50 47%
Wellpoint $99 - $103 93%
Devoted Health $101 95%
Wellcare-Windsor Medadv $102 95%
Medicare (plans) $103 - $104 96%
Fentress County Sheriffs Dept $287 269%
Nx Health $430 403%
Phcs $430 403%
Naphcare $466 436%
Prime Health $537 - $716 503%
Seven Corners $537 503%
Usa $573 536%
Evolutions $645 604%
Galaxy $645 604%
Healthsmart $645 604%

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