CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Portsmouth Regional Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $696
  • Cash Discount Price: $2,445
  • vs. Medicare Baseline: 6.52x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Portsmouth Regional Hospital is $696. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,445. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.52x the Medicare baseline. Located in 333 Borthwick Ave, Portsmouth, NH.
Cash / Self-Pay
$2,445

Average discount available for prompt cash payment at this facility.

Insurance Median
$696

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: $2,445 (2289%)
Insurance Median: $696 (652%)
Cash: $2,445 (2289% of Medicare)
Ins. Median: $696 (652% 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 652% of the Medicare baseline (a markup of 552%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $101 95%
Blue Cross Blue Shield $163 - $1,083 153%
Well Sense Health Plan $200 187%
Harvard Pilgrim $387 - $484 362%
United $628 - $1,614 588%
Maine Community Health $765 - $1,296 716%
Cigna $894 837%
Tufts Health Plan $919 - $1,399 860%
Aetna $1,548 1449%
Mvp Health Plan $1,712 1603%
Corvel $1,760 1648%
Evernorth $1,956 1831%
Mutual Of Omaha $1,956 1831%
Multiplan $1,980 1854%
First Health $2,225 2083%
Healthcare Value Mgmt $2,225 2083%
Oxford Health Plans $2,323 2175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 333 Borthwick Ave, Portsmouth, NH 03801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals