CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Lewisgale Hospital Pulaski

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $2,293
Cash Discount Price: $3,822
vs. Medicare Baseline: 21.47x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Lewisgale Hospital Pulaski is $2,293. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,822. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.47x the Medicare baseline. Located in 2400 Lee Highway, Pulaski, VA.

Cash / Self-Pay

$3,822

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,293

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: $3,822 (3578%)

Insurance Median: $2,293 (2147%)

Cash: $3,822 (3578% of Medicare)

Ins. Median: $2,293 (2147% 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 2147% of the Medicare baseline (a markup of 2047%). 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	$131 - $456	123%
United	$245 - $1,720	229%
Lifeworks	$726	680%
Universal Healthcare Group	$841	787%
Virginia Health Network	$1,338 - $2,714	1253%
Aetna	$1,720	1610%
Greenvbrier Sporting Club	$2,293	2147%
Corvel	$2,752	2577%
Richfield Nursing Center	$2,866	2683%
Richfield Retirement Community	$2,866	2683%
Multiplan	$2,943	2755%
Community Care Network	$3,058	2863%
Graham-White Manufacturing	$3,058	2863%
Occunet Workers Comp	$3,058	2863%
One Health Plan	$3,058	2863%
Patients Choice	$3,363	3149%
4Most	$3,440	3221%
American Postal Workers Union	$3,440	3221%
Phcs	$3,440	3221%
Star Transportation	$3,440	3221%

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 $3,822.
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 Hospital Pulaski 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.