CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,662
Cash Discount Price: $1,976
vs. Medicare Baseline: 15.56x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Childrens Hospital of the Kings Daughters Inc is $1,662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,976. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.56x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.

Cash / Self-Pay

$1,976

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,662

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: $1,976 (1850%)

Insurance Median: $1,662 (1556%)

Cash: $1,976 (1850% of Medicare)

Ins. Median: $1,662 (1556% 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 1556% of the Medicare baseline (a markup of 1456%). 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	$247 - $359	231%
UnitedHealthcare	$248 - $1,805	232%
Sentara Community Plan	$290	272%
Aetna	$304 - $1,805	285%
Humana	$304	285%
Sentara Health Plans	$360	337%
Amerihealth Caritas	$505	473%
Healthy Blue	$505	473%
Carolina Complete Health	$515	482%
Wellcare	$520	487%
Cigna	$1,458	1365%
Virginia Health Network	$1,537 - $1,756	1439%
Medcost	$1,866 - $2,020	1747%
First Health	$1,976	1850%
Multiplan	$2,020	1891%
Phcs	$2,020 - $2,086	1891%
Vhn	$2,020 - $2,086	1891%
Johns Hopkins Healthcare	$2,086	1953%

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 $1,976.
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 Childrens Hospital of the Kings Daughters Inc 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.