CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Metro Nashville General Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $26
  • Cash Discount Price: $506
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Metro Nashville General Hospital is $26. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $506. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.24x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.
Cash / Self-Pay
$506

Average discount available for prompt cash payment at this facility.

Insurance Median
$26

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: $506 (474%)
Insurance Median: $26 (24%)
Cash: $506 (474% of Medicare)
Ins. Median: $26 (24% 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 $14 - $26 13%
Corizon $17 16%
Amerigroup $23 22%
Amerivantage $23 22%
Cigna $24 - $26 22%
Aetna $26 - $464 24%
Blue $26 24%
Farm Bureau $26 24%
Humana $26 24%
Medicare (plans) $26 24%
Upmc $26 24%
Wellcare $26 24%
Corecivic $28 26%
Bluecare $33 31%
Tenncare $33 31%
Ambetter / Centene $36 34%
Naphcare $39 37%
Provider Network Of America $44 41%
Blue Cross Blue Shield $85 - $112 80%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1818 Albion Street, Nashville, TN 37208
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals