CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $214
Cash Discount Price: $416
vs. Medicare Baseline: 2.00x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mary Hitchcock Memorial Hospital is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $416. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.00x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$416

Average discount available for prompt cash payment at this facility.

Insurance Median

$214

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: $416 (389%)

Insurance Median: $214 (200%)

Cash: $416 (389% of Medicare)

Ins. Median: $214 (200% 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 200% of the Medicare baseline (a markup of 100%). 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
Amerihealth Caritas Nh	$25 - $187	23%
Beacon Health Strategies/Carelon	$25 - $201	23%
Granite State Health Plan	$25 - $208	23%
Wellsense Health Plan	$31 - $201	29%
Blue Cross Blue Shield	$37 - $1,437	35%
Martin'S Point Generations Advantage	$37 - $119	35%
Mvp	$37 - $1,105	35%
UnitedHealthcare	$37 - $1,266	35%
Aetna	$38 - $1,158	36%
Cigna	$38 - $1,131	36%
Martin'S Point Health Care	$38 - $569	36%
Ambetter / Centene	$39 - $256	37%
Wellcare Health Plans	$39 - $124	37%
Harvard Pilgrim Health Care Of Ne	$46 - $1,058	43%
Mass General Brigham Health Plan	$109 - $1,026	102%
Tufts Health Plan	$124 - $962	116%
Maine Community Health Options	$681 - $1,212	638%
Coventry	$930 - $1,435	871%
First Health/Hcvm	$930 - $1,435	871%
Phcs	$962 - $1,484	901%
Corvel	$983 - $1,517	920%
Ccmsi	$1,016 - $1,567	951%

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 $416.
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 Mary Hitchcock Memorial 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.