CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Francis Hospital & Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $392
  • Cash Discount Price: $505
  • vs. Medicare Baseline: 3.67x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St Francis Hospital & Medical Center is $392. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $505. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.67x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$505

Average discount available for prompt cash payment at this facility.

Insurance Median
$392

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: $505 (473%)
Insurance Median: $392 (367%)
Cash: $505 (473% of Medicare)
Ins. Median: $392 (367% 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 367% of the Medicare baseline (a markup of 267%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Connecticut Dept of Correction $116 109%
Aetna $123 - $200 115%
Blue Cross Blue Shield $123 - $436 115%
Medicare (plans) $123 - $129 115%
Cca Senior Care Options $125 117%
UnitedHealthcare $125 - $179 117%
Cigna $127 - $735 119%
Fallon Health $163 153%
Geha $179 168%
Harvard Pilgrim Healthcare $179 168%
1199 National Benefit Fund $200 187%
Allied Benefit Systems $200 187%
Gravie Admin Services $200 187%
Hap $200 187%
Luminare Health $200 187%
Meritain $200 187%
Nippon Life Ins $200 187%
Webtpa $200 187%
Centivo $251 235%
Connecticare $258 - $315 242%
Innovative Health Plan II $263 246%
Allegiance $352 330%
Health Partners $352 330%
Magnacare $352 330%
Bcn Domestic $436 408%
Blue Benefit Administrators of Massachusetts $436 408%
Blue Care Network $436 408%
Blue Distinction Transplant $436 408%
Blue Shield - Ca $436 408%
Blue Shield - Id (Regence) $436 408%
Blue Shield - Ny Highmark Northeastern $436 408%
Blue Shield - Ny Highmark Western $436 408%
Blue Shield - PA (Highmark) $436 408%
Blue Shield - Wa (Regence) $436 408%
Health Choices $436 408%
Kaiser Domestic $436 408%
Pre-Employment $436 408%
Unicare $436 408%
Wc Domestic $436 408%
Wellpoint $436 408%
Health New England $507 475%
Allied National Global Care $625 585%
Asrm - Reliance Standard Life Insurance $625 585%
Christian Care Ministry $625 585%
Dean Health $625 585%
Family Life Insurance Company $625 585%
Ghc Scw $625 585%
International Benefit Administrators $625 585%
Lifetime Benefit Solutions $625 585%
Manhattan Life $625 585%
Medi Share $625 585%
Multiplan $625 585%
Mvp $625 585%
PHCS $625 585%
Pai $625 585%
Pan-American Life $625 585%
Paramount HMO $625 585%
Trinity Health Share $625 585%
Prime Health Services $643 602%
Health Smart $781 731%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals