CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Tristar Centennial Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $520
Cash Discount Price: $2,738
vs. Medicare Baseline: 4.87x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Tristar Centennial Medical Center is $520. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,738. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.87x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$2,738

Average discount available for prompt cash payment at this facility.

Insurance Median

$520

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: $2,738 (2563%)

Insurance Median: $520 (487%)

Cash: $2,738 (2563% of Medicare)

Ins. Median: $520 (487% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 487% of the Medicare baseline (a markup of 387%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$77 - $148	72%
Humana	$151 - $1,780	141%
United	$155 - $1,232	145%
Aetna	$165 - $1,369	154%
Cigna	$247 - $2,191	231%
Kentucky Labor Cabinet	$504	472%
Apex Health	$520	487%
Nhc Advantage, Inc.	$520	487%
Pruitt Health (Allyalign)	$520	487%
Tennessee Donor Services	$742	695%
Centurion	$1,128	1056%
Emerging Therapy Solutions	$1,342 - $1,835	1256%
Bgfh Singlesource	$1,369 - $2,328	1282%
Value Option	$1,369	1282%
Multiplan	$1,506	1410%
Southern Health Partners	$1,643	1538%
Employers Health Network	$1,917	1795%
Mhnet	$2,054	1923%
Odom'S Tn Pride Sausage	$2,054	1923%
Compsych	$2,191	2051%
Beech Street	$2,410	2256%
Prime Health	$2,410	2256%
UnitedHealthcare	$2,437 - $2,738	2282%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,738.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tristar Centennial Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.