CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Helen Newberry Joy Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $90
Cash Discount Price: $57
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Helen Newberry Joy Hospital is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.84x the Medicare baseline. Located in 502 W Harrie St, Newberry, MI.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

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: $57 (53%)

Insurance Median: $90 (84%)

Cash: $57 (53% of Medicare)

Ins. Median: $90 (84% 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
Mi Wc - All Plans	$47 - $496	44%
Aetna	$66 - $736	62%
Uphg Tpa - All Plans	$66 - $697	62%
First Health - All Plans	$70 - $736	66%
Ppom/Cofinity - All Plans	$70 - $736	66%
Cigna	$71 - $751	66%
Health Alliance - All Plans	$71 - $751	66%
Healtheos - All Plans	$71 - $751	66%
Priority Health - All Plans	$71 - $751	66%
UnitedHealthcare	$71 - $751	66%
Vital Core - All Plans	$72 - $751	67%
Blue Cross Blue Shield	$73 - $765	68%
Uphp Mcaid - All Plans	$229 - $364	214%
Va - All Plans	$253 - $318	237%
Humana	$310 - $321	290%
Mi Health Link - All Plans	$310 - $321	290%

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 $57.
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 Helen Newberry Joy 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.