CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Spotsylvania Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $762
Cash Discount Price: $2,010
vs. Medicare Baseline: 7.13x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Spotsylvania Regional Medical Center is $762. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,010. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.13x the Medicare baseline. Located in 4600 Spotsylvania Parkway, Fredericksburg, VA.

Cash / Self-Pay

$2,010

Average discount available for prompt cash payment at this facility.

Insurance Median

$762

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: $2,010 (1882%)

Insurance Median: $762 (713%)

Cash: $2,010 (1882% of Medicare)

Ins. Median: $762 (713% 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 713% of the Medicare baseline (a markup of 613%). 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	$70 - $314	66%
Lifeworks	$181 - $762	169%
United	$245 - $1,805	229%
Virginia Health Network	$334 - $2,607	313%
Cigna	$364 - $447	341%
Kaiser	$563 - $2,367	527%
Greenvbrier Sporting Club	$573 - $2,407	536%
Multiplan	$677 - $2,848	634%
Corvel	$687 - $2,888	643%
Occunet Workers Comp	$763 - $3,209	714%
4Most Health Nework	$859 - $3,610	804%
Three Rivers Provider Network	$859 - $3,610	804%

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 $2,010.
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 Spotsylvania Regional 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.