CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Fort Sanders Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $102
  • Cash Discount Price: $151
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Fort Sanders Regional Medical Center is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 1901 W Clinch Ave, Knoxville, TN.
Cash / Self-Pay
$151

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $151 (141%)
Insurance Median: $102 (95%)
Cash: $151 (141% of Medicare)
Ins. Median: $102 (95% 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 $53 - $230 50%
Blue Cross Blue Shield $70 - $310 66%
Aetna $85 - $102 80%
Farm Bureau $96 90%
Tricare $97 91%
Humana $100 94%
Cigna $102 - $132 95%
Devoted Health $102 95%
Wellcare $102 95%
Wellpoint $102 95%
Ambetter / Centene $145 136%
Ehn $219 205%
Correctional Medical Services $292 273%
Community Services Network $317 297%
USA Managed Care Organization $341 319%
Beech Street $365 342%
Novanet $365 342%
Direct Care America $390 365%
Medsave USA $390 365%
National Provider Network $390 365%
Ccn Managed Care $414 388%
Initial Group $429 402%
Galaxy Health Network $438 410%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1901 W Clinch Ave, Knoxville, TN 37916
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals