CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Cheshire Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $200
Cash Discount Price: $242
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Cheshire Medical Center is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$242

Average discount available for prompt cash payment at this facility.

Insurance Median

$200

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: $242 (227%)

Insurance Median: $200 (187%)

Cash: $242 (227% of Medicare)

Ins. Median: $200 (187% 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
Aetna	$38 - $958	36%
Ambetter / Centene	$40 - $99	37%
Blue Cross Blue Shield	$40 - $1,112	37%
Cigna	$40 - $693	37%
Martin'S Point Generations Advantage	$40 - $111	37%
Martin'S Point Health Care	$40 - $111	37%
Mvp	$40 - $693	37%
UnitedHealthcare	$40 - $1,063	37%
Wellcare Health Plans	$40 - $111	37%
Wellsense Health Plan	$40 - $193	37%
Amerihealth Caritas Nh	$43 - $171	40%
Granite State Health Plan	$58 - $234	54%
Harvard Pilgrim Health Care Of Ne	$75 - $637	70%
Mass General Brigham Health Plan	$105 - $1,400	98%
Tufts Health Plan	$112 - $894	105%
Maine Community Health Options	$158 - $630	148%
First Health/Hcvm	$298 - $1,190	279%
Phcs	$315 - $1,260	295%

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 $242.
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 Cheshire Medical Center 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.