CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Reston Hospital Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $650
Cash Discount Price: $3,173
vs. Medicare Baseline: 6.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Reston Hospital Center is $650. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,173. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.09x the Medicare baseline. Located in 1850 Town Center Parkway, Reston, VA.

Cash / Self-Pay

$3,173

Average discount available for prompt cash payment at this facility.

Insurance Median

$650

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: $3,173 (2971%)

Insurance Median: $650 (609%)

Cash: $3,173 (2971% of Medicare)

Ins. Median: $650 (609% 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 609% of the Medicare baseline (a markup of 509%). 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	$143 - $486	134%
United	$245 - $1,441	229%
Cigna	$452 - $474	423%
Carefirst	$538	504%
Lifeworks	$597 - $608	559%
Universal Healthcare Group	$692 - $704	648%
Greenvbrier Sporting Club	$1,886 - $1,921	1766%
Virginia Health Network	$2,232 - $2,273	2090%
Corvel	$2,264 - $2,305	2120%
Occunet Workers Comp	$2,515 - $2,562	2355%
4Most Health Network	$2,829 - $2,882	2649%

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 $3,173.
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 Reston Hospital 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.