CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: St Francis Hospital & Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $292
  • Cash Discount Price: $494
  • vs. Medicare Baseline: 2.73x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at St Francis Hospital & Medical Center is $292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $494. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.73x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$494

Average discount available for prompt cash payment at this facility.

Insurance Median
$292

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: $494 (463%)
Insurance Median: $292 (273%)
Cash: $494 (463% of Medicare)
Ins. Median: $292 (273% 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 273% of the Medicare baseline (a markup of 173%). 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
Connecticut Dept of Correction $116 - $264 109%
Aetna $123 - $280 115%
Blue Cross Blue Shield $123 - $994 115%
Medicare (plans) $123 - $295 115%
Cca Senior Care Options $125 - $286 117%
UnitedHealthcare $125 - $286 117%
Cigna $127 - $1,815 119%
1199 National Benefit Fund $153 143%
Allied Benefit Systems $153 143%
Gravie Admin Services $153 143%
Hap $153 143%
Luminare Health $153 143%
Meritain $153 143%
Nippon Life Ins $153 143%
Webtpa $153 143%
Fallon Health $163 - $372 153%
Geha $179 168%
Harvard Pilgrim Healthcare $179 168%
Connecticare $195 - $239 183%
Centivo $251 235%
Allegiance $254 - $1,815 238%
Health Partners $254 - $1,815 238%
Magnacare $254 - $1,815 238%
Innovative Health Plan II $263 - $601 246%
Bcn Domestic $436 - $994 408%
Blue Benefit Administrators of Massachusetts $436 - $994 408%
Blue Care Network $436 - $994 408%
Blue Distinction Transplant $436 - $994 408%
Blue Shield - Ca $436 - $994 408%
Blue Shield - Id (Regence) $436 - $994 408%
Blue Shield - Ny Highmark Northeastern $436 - $994 408%
Blue Shield - Ny Highmark Western $436 - $994 408%
Blue Shield - PA (Highmark) $436 - $994 408%
Blue Shield - Wa (Regence) $436 - $994 408%
Health Choices $436 - $994 408%
Kaiser Domestic $436 - $994 408%
Pre-Employment $436 - $994 408%
Unicare $436 - $994 408%
Wc Domestic $436 - $994 408%
Wellpoint $436 - $994 408%
Health New England $496 464%
Allied National Global Care $611 572%
Asrm - Reliance Standard Life Insurance $611 572%
Christian Care Ministry $611 572%
Dean Health $611 572%
Family Life Insurance Company $611 572%
Ghc Scw $611 572%
International Benefit Administrators $611 572%
Lifetime Benefit Solutions $611 572%
Manhattan Life $611 572%
Medi Share $611 572%
Multiplan $611 572%
Mvp $611 572%
PHCS $611 572%
Pai $611 572%
Pan-American Life $611 572%
Paramount HMO $611 572%
Trinity Health Share $611 572%
Prime Health Services $629 589%
Health Smart $764 715%

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