CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Medstar Saint Mary's Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $495
Cash Discount Price: $485
vs. Medicare Baseline: 4.63x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Medstar Saint Mary's Hospital is $495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $485. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.63x the Medicare baseline. Located in 25500 Point Lookout Road, Leonardtown, MD.

Cash / Self-Pay

$485

Average discount available for prompt cash payment at this facility.

Insurance Median

$495

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: $485 (454%)

Insurance Median: $495 (463%)

Cash: $485 (454% of Medicare)

Ins. Median: $495 (463% 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 463% of the Medicare baseline (a markup of 363%). 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
Aetna	$495	463%
Amerigroup	$495	463%
Amerihealth Caritas District Of Columbia	$495	463%
Carefirst Advantage Inc	$495	463%
Carefirst Blue Choice Inc	$495	463%
Cigna	$495	463%
First Health	$495	463%
Hscsn	$495	463%
Humana	$495	463%
Kaiser Permanente	$495	463%
Magellan Behavioral Health Inc	$495	463%
Mamsi	$495	463%
Medstar Family Choice	$495	463%
Medstar Family Choice Inc	$495	463%
Ncppo Healthlink Ppo	$495	463%
Pfc	$495	463%
Private Healthcare Systems (Phcs)	$495	463%
Tricare	$495	463%
United Behavioral Health Inc	$495	463%
UnitedHealthcare	$495	463%

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 $485.
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 Medstar Saint Mary'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.