CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Lewisgale Hospital Montgomery

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,567
Cash Discount Price: $2,611
vs. Medicare Baseline: 14.67x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Lewisgale Hospital Montgomery is $1,567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,611. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.67x the Medicare baseline. Located in 3700 South Main Street, Blacksburg, VA.

Cash / Self-Pay

$2,611

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,567

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: $2,611 (2445%)

Insurance Median: $1,567 (1467%)

Cash: $2,611 (2445% of Medicare)

Ins. Median: $1,567 (1467% 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 1467% of the Medicare baseline (a markup of 1367%). 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	$116 - $417	109%
United	$245 - $1,175	229%
Cigna	$454	425%
Lifeworks	$496	464%
Universal Healthcare Group	$574	537%
Virginia Health Network	$914 - $1,854	856%
Greenvbrier Sporting Club	$1,567	1467%
Corvel	$1,880	1760%
Richfield Nursing Center	$1,958	1833%
Richfield Retirement Community	$1,958	1833%
Multiplan	$2,010	1882%
Community Care Network	$2,089	1956%
Graham-White Manufacturing	$2,089	1956%
Occunet Workers Comp	$2,089	1956%
One Health Plan	$2,089	1956%
Phcs	$2,219	2078%
Patients Choice	$2,298	2151%
4Most	$2,350	2200%
American Postal Workers Union	$2,350	2200%
Star Transportation	$2,350	2200%

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 $2,611.
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 Hospital Montgomery 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.