CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Lewisgale Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $2,808
Cash Discount Price: $4,011
vs. Medicare Baseline: 26.29x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Lewisgale Medical Center is $2,808. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,011. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.29x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$4,011

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,808

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: $4,011 (3755%)

Insurance Median: $2,808 (2629%)

Cash: $4,011 (3755% of Medicare)

Ins. Median: $2,808 (2629% 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 2629% of the Medicare baseline (a markup of 2529%). 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	$171 - $597	160%
United	$245 - $1,805	229%
Cigna	$698	653%
Lifeworks	$762	713%
Universal Healthcare Group	$882	826%
Virginia Health Network	$1,404 - $2,848	1314%
Naphcare	$2,006	1878%
Greenvbrier Sporting Club	$2,407	2254%
Graham-White Manufacturing	$2,808	2629%
Richfield Nursing Center	$2,808	2629%
Corvel	$2,888	2704%
Community Care Network	$3,008	2816%
Richfield Retirement Community	$3,008	2816%
Csx Hotels	$3,209	3004%
Occunet Workers Comp	$3,209	3004%
One Health Plan	$3,209	3004%
Patients Choice	$3,530	3305%
4Most	$3,610	3380%
Alleghany Highland Community	$3,610	3380%
American Postal Workers Union	$3,610	3380%
C&O Employees Hospital Assn	$3,610	3380%
Multiplan	$3,610	3380%
Phcs	$3,610	3380%
Star Transportation	$3,610	3380%

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 $4,011.
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 Lewisgale 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.