CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Brigham and Women's Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $124
Cash Discount Price: $348
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Brigham and Women's Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $348. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 75 Francis Street, Boston, MA.

Cash / Self-Pay

$348

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $348 (326%)

Insurance Median: $124 (116%)

Cash: $348 (326% of Medicare)

Ins. Median: $124 (116% 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
Mgb Health Plan [150001]	$38 - $309	36%
UnitedHealthcare	$52 - $659	49%
Cigna	$64 - $642	60%
Centers Of Excellence [1026]	$79 - $565	74%
Health New England [1034]	$93 - $621	87%
Phcs Multiplan [1022]	$93 - $621	87%
International Commercial [140001]	$96 - $642	90%
Harvard Pilgrim Alternate [120002]	$113	106%
Harvard Pilgrim [120001]	$113	106%
Tricare	$120	112%
Tufts Health Plan [170001]	$124	116%
Tufts Health Public Plans [1013]	$124	116%
Blue Cross Blue Shield	$126 - $232	118%
Commonwealth Care Alliance [1007]	$126	118%
Humana	$126	118%
Medicare (plans)	$126	118%

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 $348.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Brigham and Women's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.