CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $106
Cash Discount Price: $929
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Camc Greenbrier Valley Medical Center, Inc is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $929. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$929

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $929 (870%)

Insurance Median: $106 (99%)

Cash: $929 (870% of Medicare)

Ins. Median: $106 (99% 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.

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	$19 - $923	18%
Blue Cross Blue Shield	$19 - $871	18%
Caresource	$19 - $754	18%
Sentra Health	$19 - $188	18%
The Health Plan	$19 - $848	18%
Unicare	$19 - $42	18%
Clear Spring Health	$20 - $106	19%
Humana	$20 - $848	19%
Multiplan	$20 - $820	19%
UnitedHealthcare	$20 - $754	19%
Ally Align	$21 - $112	20%
Integrated Medical Solutions	$28 - $202	26%
Naphcare	$39 - $213	37%
Greenbrier Resort	$221 - $659	207%
Healthsmart	$253 - $659	237%
Fedmed	$284 - $848	266%

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 $929.
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 Camc Greenbrier Valley Medical Center, Inc 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.