CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Charleston Area Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $311
Cash Discount Price: $1,109
vs. Medicare Baseline: 2.91x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Charleston Area Medical Center is $311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,109. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.91x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$1,109

Average discount available for prompt cash payment at this facility.

Insurance Median

$311

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: $1,109 (1038%)

Insurance Median: $311 (291%)

Cash: $1,109 (1038% of Medicare)

Ins. Median: $311 (291% 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 291% of the Medicare baseline (a markup of 191%). 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
Aetna	$42 - $1,180	39%
The Health Plan Of West Virginia Inc.	$42 - $1,168	39%
Unicare Health Plan Of West Virginia Inc.	$42 - $303	39%
Triwest Va	$76 - $292	71%
Blue Cross Blue Shield	$78 - $1,098	73%
Choicecare Network	$78 - $1,180	73%
Optimum Choice Inc.	$78 - $107	73%
UnitedHealthcare	$78 - $1,180	73%
West Virginia Senior Advantage Inc.	$82 - $316	77%
City Of Charleston	$102 - $903	95%
Naphcare	$107 - $602	100%
Integrated Medical Solutions	$113 - $587	106%
Caresource	$117 - $752	110%
Tricare	$190 - $722	178%
Three Rivers Providers Network	$307 - $1,168	287%
Healthsmart	$310 - $1,180	290%
Multiplan	$310 - $1,180	290%
Cigna	$313 - $1,120	293%

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 $1,109.
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 Charleston Area 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.