CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Carilion Tazewell Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,299
Cash Discount Price: $893
vs. Medicare Baseline: 12.16x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Carilion Tazewell Community Hospital is $1,299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $893. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.16x the Medicare baseline. Located in 388 Ben Bolt Avenue, Tazewell, VA.

Cash / Self-Pay

$893

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,299

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: $893 (836%)

Insurance Median: $1,299 (1216%)

Cash: $893 (836% of Medicare)

Ins. Median: $1,299 (1216% 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 1216% of the Medicare baseline (a markup of 1116%). 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
Aetna	$92 - $1,695	86%
Corvel	$94	88%
Humana	$94 - $109	88%
Allcare	$98	92%
Blue Cross Blue Shield	$100 - $552	94%
UnitedHealthcare	$101 - $2,086	95%
Sentara Health Plan	$103 - $1,582	96%
Abh Of Va (Formerly Coventry)	$109	102%
Abh Of Wva (Formerly Coventry)	$109	102%
Gateway - Tier 3	$1,404	1314%
Vhn - Ultra	$1,582	1481%
Cigna	$1,621 - $1,728	1518%
Connecticare	$1,786	1672%
Vhn - Plus	$1,965	1840%
Gateway - Tier 2	$2,042	1912%
Vhn	$2,042	1912%
Integrated Health Plan	$2,169	2031%
Vhn - Link	$2,297	2151%
Gateway - Tier 1	$2,424	2269%
Vhn - Secondary Payors	$2,424	2269%
National Provider Network	$2,450	2294%

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 $893.
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 Carilion Tazewell Community Hospital 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.