CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Medstar Washington Hospital Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $282
  • Cash Discount Price: $367
  • vs. Medicare Baseline: 2.64x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Medstar Washington Hospital Center is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.64x the Medicare baseline. Located in 110 Irving Street Nw, Washington, DC.
Cash / Self-Pay
$367

Average discount available for prompt cash payment at this facility.

Insurance Median
$282

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: $367 (344%)
Insurance Median: $282 (264%)
Cash: $367 (344% of Medicare)
Ins. Median: $282 (264% 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 264% of the Medicare baseline (a markup of 164%). 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 - $585 116%
Aetna $127 - $361 119%
Health Care Service Corporation $130 122%
Humana $130 122%
Kaiser Permanente $130 - $282 122%
Medstar Family Choice Inc $158 - $271 148%
Amerigroup $236 221%
Amerihealth Caritas District Of Columbia $236 221%
Hscsn $236 221%
Pfc $367 344%
Ncppo Healthlink Ppo $423 396%
Private Healthcare Systems (Phcs) $451 422%
Carefirst Blue Choice Inc $470 440%
First Health $479 448%
Mamsi $480 449%
Cigna $600 562%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Irving Street Nw, Washington, DC 20010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals