CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Johnson Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $352
  • Cash Discount Price: $504
  • vs. Medicare Baseline: 3.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Johnson Memorial Hospital is $352. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $504. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.30x the Medicare baseline. Located in 201 Chestnut Hill Road, Stafford Springs, CT.
Cash / Self-Pay
$504

Average discount available for prompt cash payment at this facility.

Insurance Median
$352

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: $504 (472%)
Insurance Median: $352 (330%)
Cash: $504 (472% of Medicare)
Ins. Median: $352 (330% 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 330% of the Medicare baseline (a markup of 230%). 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 $116 109%
Aetna $123 - $259 115%
Blue Cross Blue Shield $123 - $352 115%
Medicare (plans) $123 - $129 115%
UnitedHealthcare $123 - $916 115%
Cca Senior Care Options $125 117%
Cigna $127 - $764 119%
Fallon Health $163 153%
Geha $179 168%
Harvard Pilgrim Healthcare $179 168%
1199 National Benefit Fund $259 242%
Allied Benefit Systems $259 242%
Gravie Admin Services $259 242%
Hap $259 242%
Luminare Health $259 242%
Meritain $259 242%
Nippon Life Ins $259 242%
Webtpa $259 242%
Claimdoc $263 246%
Diversified Administrators $263 246%
Innovative Health Plan Ii $263 246%
Centivo $292 273%
Bcn Domestic $352 330%
Blue Benefit Administrators Of Massachusetts $352 330%
Blue Care Network $352 330%
Blue Distinction Transplant $352 330%
Blue Shield - Ca $352 330%
Blue Shield - Id (Regence) $352 330%
Blue Shield - Ny Highmark Northeastern $352 330%
Blue Shield - Ny Highmark Western $352 330%
Blue Shield - Pa (Highmark) $352 330%
Blue Shield - Wa (Regence) $352 330%
Health Choices $352 330%
Kaiser Domestic $352 330%
Pre-Employment $352 330%
Unicare $352 330%
Wc Domestic $352 330%
Wellpoint $352 330%
Connecticare $487 - $609 456%
Health New England $595 557%
Prime Health Services $733 686%
Allied National Global Care $760 712%
Asrm - Reliance Standard Life Insurance $760 712%
Christian Care Ministry $760 712%
Dean Health $760 712%
Family Life Insurance Company $760 712%
Ghc Scw $760 712%
International Benefit Administrators $760 712%
Lifetime Benefit Solutions $760 712%
Manhattan Life $760 712%
Medi Share $760 712%
Multiplan $760 712%
Mvp $760 712%
Pai $760 712%
Pan-American Life $760 712%
Paramount Hmo $760 712%
Phcs $760 712%
Trinity Health Share $760 712%
Allegiance $764 715%
Health Partners $764 715%
Magnacare $764 715%
Health Smart $779 729%
United Behavioral Health Eap $916 858%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 201 Chestnut Hill Road, Stafford Springs, CT 06076
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals