CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Tristar Southern Hills Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $365
Cash Discount Price: $1,892
vs. Medicare Baseline: 3.42x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Tristar Southern Hills Medical Center is $365. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,892. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.42x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.

Cash / Self-Pay

$1,892

Average discount available for prompt cash payment at this facility.

Insurance Median

$365

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: $1,892 (1771%)

Insurance Median: $365 (342%)

Cash: $1,892 (1771% of Medicare)

Ins. Median: $365 (342% 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 342% of the Medicare baseline (a markup of 242%). 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	$64 - $107	60%
Humana	$110 - $480	103%
Aetna	$123 - $960	115%
United	$155 - $864	145%
Cigna	$188 - $626	176%
Kentucky Labor Cabinet	$343 - $353	321%
Apex Health	$354 - $365	331%
Nhc Advantage, Inc.	$354 - $365	331%
Pruitt Health (Allyalign)	$354 - $365	331%
Centurion	$768 - $791	719%
Bgfh Singlesource	$932 - $1,632	873%
Multiplan	$1,081 - $1,113	1012%
Employers Health Network	$1,304 - $1,344	1221%
Odom'S Tn Pride Sausage	$1,398 - $1,440	1309%
Beech Street	$1,640 - $1,689	1535%
Prime Health	$1,640 - $1,689	1535%

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 $1,892.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Tristar Southern Hills Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.