CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Wellmont Holston Valley Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $139
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Wellmont Holston Valley Medical Center is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.30x the Medicare baseline. Located in 130 West Ravine Road, Kingsport, TN.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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: $96 (90%)
Insurance Median: $139 (130%)
Cash: $96 (90% of Medicare)
Ins. Median: $139 (130% 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
Blue Cross Blue Shield $46 - $255 43%
UnitedHealthcare $58 - $643 54%
Aetna $99 - $275 93%
Humana $99 93%
Managed Medicaire $99 93%
Medicare (plans) $99 93%
Sentara Health $99 - $166 93%
United Mine Workers Of America $99 93%
Amerigroup $103 96%
Cigna $104 - $365 97%
Devoted Health Plan $104 97%
Molina Healthcare $104 - $143 97%
Mountain Empire Pace $104 97%
Nhc Advantage $104 97%
Wellcare $105 - $643 98%
Optima Health $141 132%
Ambetter / Centene $216 202%
Seven Corners, Inc. $238 223%
Medcost $306 286%
First Health Coventry $495 463%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 West Ravine Road, Kingsport, TN 37662
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals