CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Cambridge Health Alliance

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $550
Cash Discount Price: $550
vs. Medicare Baseline: 5.15x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Cambridge Health Alliance is $550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $550. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.15x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.

Cash / Self-Pay

$550

Average discount available for prompt cash payment at this facility.

Insurance Median

$550

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: $550 (515%)

Insurance Median: $550 (515%)

Cash: $550 (515% of Medicare)

Ins. Median: $550 (515% 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 515% of the Medicare baseline (a markup of 415%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$129 - $550	121%
Wc [90001]	$153	143%
Wellpoint [50012]	$153	143%
Other Tufts Health Public Plan [75002]	$212	198%
Aarp [40001]	$250	234%
Oxford Health [40004]	$250	234%
United Medical Resource [40005]	$250	234%
UnitedHealthcare	$250 - $324	234%
Aetna	$282 - $550	264%
Health Plans Inc [20002]	$324	303%
Hphc [20001]	$324	303%
Mass General Brigham [50021]	$350	328%
Multiplan [50010]	$374	350%
Cigna	$387 - $1,129	362%
Tufts Health Plan [30001]	$387 - $424	362%
Altus Dental [99011]	$550	515%
Beacon Health Strategies [50002]	$550	515%
Cbhc Uninsured Crisis Alt Payer [70097]	$550	515%
Cbhc Uninsured Crisis [70096]	$550	515%
Celticare [50004]	$550	515%
Commonwealth Care Alliance Dental [99004]	$550	515%
Coverage Discovery [90004]	$550	515%
Delta Dental Of Ma [99007]	$550	515%
Dominion National Dental [99012]	$550	515%
Dph Tb Payor [85004]	$550	515%
Esp Dental [99003]	$550	515%
Eyemed Alt Payor [13001]	$550	515%
First Health [50007]	$550	515%
Global Medical Management [50024]	$550	515%
Government Employee Health Association [50023]	$550	515%
Guardian Dental [99013]	$550	515%
Health Safety Net Dental [99002]	$550	515%
Humana	$550	515%
Ma Laborers Health And Welfare Fund [50022]	$550	515%
Magellan Health Services [65098]	$550	515%
Mass Health Dental [99001]	$550	515%
Medical Mutual Of Ohio [50019]	$550	515%
Medicare (plans)	$550	515%
Metlife Dental [99008]	$550	515%
Modern Assistance Program [30098]	$550	515%
Mva [90002]	$550	515%
Neighborhood Health Plan [50011]	$550	515%
Other Bh Payor [50014]	$550	515%
Other Commercial Payor [50015]	$550	515%
Other Dental Payor [99014]	$550	515%
Other Dual Eligible Payer [65004]	$550	515%
Other Gov'T Alt [85006]	$550	515%
Other Vision Payor [50013]	$550	515%
Ri Neighborhood Health Plan [50017]	$550	515%
Tricare	$550	515%

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 $550.
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 Cambridge Health Alliance 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.