CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Childrens Hospital of the Kings Daughters Inc

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $1,052
  • Cash Discount Price: $1,250
  • vs. Medicare Baseline: 9.85x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Childrens Hospital of the Kings Daughters Inc is $1,052. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,250. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.85x the Medicare baseline. Located in 601 Children's Lane, Norfolk, VA.
Cash / Self-Pay
$1,250

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,052

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: $1,250 (1170%)
Insurance Median: $1,052 (985%)
Cash: $1,250 (1170% of Medicare)
Ins. Median: $1,052 (985% 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 985% of the Medicare baseline (a markup of 885%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $163 - $359 153%
UnitedHealthcare $164 - $1,142 154%
Sentara Community Plan $192 180%
Aetna $201 - $1,142 188%
Humana $201 188%
Amerihealth Caritas $320 300%
Healthy Blue $320 300%
Carolina Complete Health $326 305%
Wellcare $329 308%
Sentara Health Plans $383 359%
Cigna $922 863%
Virginia Health Network $972 - $1,111 910%
Medcost $1,181 - $1,278 1106%
First Health $1,250 1170%
Multiplan $1,278 1197%
Phcs $1,278 - $1,320 1197%
Vhn $1,278 - $1,320 1197%
Johns Hopkins Healthcare $1,320 1236%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 Children's Lane, Norfolk, VA 23507
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens