CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Lewisgale Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $2,022
Cash Discount Price: $2,889
vs. Medicare Baseline: 18.93x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Lewisgale Medical Center is $2,022. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,889. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.93x the Medicare baseline. Located in 1900 Electric Road, Salem, VA.

Cash / Self-Pay

$2,889

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,022

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: $2,889 (2705%)

Insurance Median: $2,022 (1893%)

Cash: $2,889 (2705% of Medicare)

Ins. Median: $2,022 (1893% 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 1893% of the Medicare baseline (a markup of 1793%). 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	$125 - $451	117%
United	$245 - $1,300	229%
Cigna	$503	471%
Lifeworks	$549	514%
Universal Healthcare Group	$636	595%
Virginia Health Network	$1,011 - $2,051	947%
Naphcare	$1,444	1352%
Greenvbrier Sporting Club	$1,733	1623%
Graham-White Manufacturing	$2,022	1893%
Richfield Nursing Center	$2,022	1893%
Corvel	$2,080	1947%
Community Care Network	$2,167	2029%
Richfield Retirement Community	$2,167	2029%
Csx Hotels	$2,311	2164%
Occunet Workers Comp	$2,311	2164%
One Health Plan	$2,311	2164%
Patients Choice	$2,542	2380%
4Most	$2,600	2434%
Alleghany Highland Community	$2,600	2434%
American Postal Workers Union	$2,600	2434%
C&O Employees Hospital Assn	$2,600	2434%
Multiplan	$2,600	2434%
Phcs	$2,600	2434%
Star Transportation	$2,600	2434%

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 $2,889.
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 Lewisgale 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.