CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Boston Children's Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $714
Cash Discount Price: $1,005
vs. Medicare Baseline: 6.68x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Boston Children's Hospital is $714. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,005. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.68x the Medicare baseline. Located in 300 Longwood Avenue, Boston, MA.

Cash / Self-Pay

$1,005

Average discount available for prompt cash payment at this facility.

Insurance Median

$714

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: $1,005 (941%)

Insurance Median: $714 (668%)

Cash: $1,005 (941% of Medicare)

Ins. Median: $714 (668% 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 668% of the Medicare baseline (a markup of 568%). 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	$232 - $664	217%
Unicare	$299	280%
Cdphp	$492 - $854	461%
Harvard Pilgrim	$511 - $679	478%
United	$601 - $840	563%
Aetna	$603 - $842	565%
Mgb/Allways	$611 - $743	572%
Tufts Public Plan	$617 - $619	578%
United Ri Nj Ny	$633	593%
Ambetter / Centene	$635	595%
Carelon Strategies/Bhs	$653	611%
UnitedHealthcare	$653 - $854	611%
Carelon/Beacon	$754	706%
Fallon	$767 - $775	718%
Health New England	$812	760%
Cigna	$854 - $907	800%
Ets/Lifetrac	$854	800%
Interlink Transplant	$854	800%
Community Health Options	$904	846%
Humana	$904	846%
Coventry/Hcvm/First Health	$925	866%
Multiplan/Phcs	$925 - $955	866%

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 $1,005.
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 Boston Children's Hospital 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.