CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $136
Cash Discount Price: $1,237
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at UMass Memorial Healthalliance Hospitals is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,237. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.27x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$1,237

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

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: $1,237 (1158%)

Insurance Median: $136 (127%)

Cash: $1,237 (1158% of Medicare)

Ins. Median: $136 (127% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Workers Compensation [20501]	$112	105%
Champva [11001]	$114	107%
Medicare (plans)	$125 - $127	117%
Cigna	$127 - $601	119%
Correctional Care [11003]	$127	119%
Institution [10406]	$127 - $656	119%
Medicaid / KanCare	$127 - $643	119%
Tufts Dual [10111]	$127	119%
Tufts Us Family [11203]	$127	119%
Blue Cross Blue Shield	$131 - $207	123%
Tufts Mcr [10112]	$132 - $133	124%
Aetna	$133	125%
Commonwealth Care Mcr [10115]	$133	125%
Fallon Mcr Supp [20202]	$133	125%
Harvard Pilgrim Mcr [10106]	$133	125%
Mgb Mcr [10124]	$133	125%
UnitedHealthcare	$133 - $1,237	125%
Senior Whole Health [10110]	$136	127%
Wellpoint [11112]	$198	185%
Tufts Connectorcare [10507]	$216	202%
Tufts [11201]	$283	265%
Hsno/Free Care [10801]	$294	275%
Hne [11108]	$690	646%
First Health Network [11120]	$928	869%
Multiplan [11109]	$928	869%
Connecticare [11105]	$1,237	1158%
Fallon Carelon Hlth [28]	$1,237	1158%
Fallon Mcaid Carelon Hlth [29]	$1,237	1158%
Grants [20507]	$1,237	1158%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,237.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UMass Memorial Healthalliance Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.