CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Lee County Community Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $155
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Lee County Community Hospital is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.45x the Medicare baseline. Located in 127 Health Care Drive, Pennington Gap, VA.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$155

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: $95 (89%)
Insurance Median: $155 (145%)
Cash: $95 (89% of Medicare)
Ins. Median: $155 (145% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $82 - $412 77%
UnitedHealthcare $87 - $412 81%
Aetna $91 - $412 85%
Ambetter / Centene $91 85%
Amerigroup $91 - $412 85%
Managed Medicaire $91 85%
Medicare (plans) $91 85%
Mountain Empire Pace $91 85%
Sentara Health $91 - $106 85%
United Mine Workers Of America $91 85%
Humana $92 86%
Molina Healthcare $94 - $206 88%
Cigna $95 - $412 89%
Devoted Health Plan $95 89%
Nhc Advantage $95 89%
Optima Health $198 185%
Seven Corners, Inc. $218 204%
First Health Coventry $412 386%
Medcost $412 386%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 127 Health Care Drive, Pennington Gap, VA 24277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals