CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Cheshire Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $219
Cash Discount Price: $225
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Cheshire Medical Center is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.05x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$225

Average discount available for prompt cash payment at this facility.

Insurance Median

$219

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: $225 (211%)

Insurance Median: $219 (205%)

Cash: $225 (211% of Medicare)

Ins. Median: $219 (205% 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 205% of the Medicare baseline (a markup of 105%). 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	$28 - $764	26%
Ambetter / Centene	$29 - $99	27%
Blue Cross Blue Shield	$29 - $887	27%
Cigna	$29 - $640	27%
Martin'S Point Generations Advantage	$29 - $111	27%
Martin'S Point Health Care	$29 - $111	27%
Mvp	$29 - $640	27%
UnitedHealthcare	$29 - $848	27%
Wellcare Health Plans	$29 - $111	27%
Wellsense Health Plan	$29 - $154	27%
Amerihealth Caritas Nh	$63 - $137	59%
Granite State Health Plan	$74 - $187	69%
Mass General Brigham Health Plan	$75 - $1,117	70%
Tufts Health Plan	$81 - $713	76%
Harvard Pilgrim Health Care Of Ne	$110 - $508	103%
Maine Community Health Options	$232 - $503	217%
First Health/Hcvm	$438 - $949	410%
Phcs	$464 - $1,005	434%

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 $225.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.