CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Holyoke Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $144
Cash Discount Price: $369
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Holyoke Medical Center is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $369. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.35x the Medicare baseline. Located in 575 Beech Street, Holyoke, MA.

Cash / Self-Pay

$369

Average discount available for prompt cash payment at this facility.

Insurance Median

$144

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: $369 (345%)

Insurance Median: $144 (135%)

Cash: $369 (345% of Medicare)

Ins. Median: $144 (135% 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
Aetna	$118 - $125	110%
Blue Cross Blue Shield	$118 - $161	110%
Health New England	$118 - $208	110%
Tufts Health Plan	$118 - $264	110%
UnitedHealthcare	$118 - $494	110%
Commonwealth Care Alliance	$124	116%
Wellsense Sco	$125	117%
Fallon	$126 - $208	118%
Wellcare	$126	118%
Senior Whole Health	$136	127%
Tufts Health Public Plans	$142 - $182	133%
Cigna	$144	135%
Gic Unicare	$153	143%
Harvard Pilgrim	$171	160%
Bmchp	$208	195%
Wellsense Direct Metals Silver	$260	243%

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 $369.
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 Holyoke Medical Center 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.