CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Medstar Georgetown University Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $396
  • Cash Discount Price: $646
  • vs. Medicare Baseline: 3.71x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Medstar Georgetown University Hospital is $396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $646. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.71x the Medicare baseline. Located in 3800 Reservoir Rd, Washington, DC.
Cash / Self-Pay
$646

Average discount available for prompt cash payment at this facility.

Insurance Median
$396

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: $646 (605%)
Insurance Median: $396 (371%)
Cash: $646 (605% of Medicare)
Ins. Median: $396 (371% 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 371% of the Medicare baseline (a markup of 271%). 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
Carefirst Advantage Inc $124 116%
Tricare $124 116%
UnitedHealthcare $124 - $519 116%
Aetna $127 - $396 119%
Health Care Service Corporation $130 122%
Humana $130 122%
Blue Cross Blue Shield $263 246%
Medstar Family Choice Inc $278 - $357 260%
Amerigroup $357 334%
Amerihealth Caritas District Of Columbia $357 334%
Hscsn $357 334%
Carefirst Blue Choice Inc $533 499%
Pfc $646 605%
Cigna $794 743%
Private Healthcare Systems (Phcs) $795 744%
First Health $845 791%
Beech Street $894 837%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3800 Reservoir Rd, Washington, DC 20007
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals