CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: New London Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $111
Cash Discount Price: $424
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at New London Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $424. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 273 County Road, New London, NH.

Cash / Self-Pay

$424

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $424 (397%)

Insurance Median: $111 (104%)

Cash: $424 (397% of Medicare)

Ins. Median: $111 (104% 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
Granite State Health Plan	$25 - $468	23%
Wellsense Health Plan	$25 - $408	23%
Amerihealth Caritas Nh	$26 - $472	24%
Blue Cross Blue Shield	$37 - $793	35%
Martin'S Point Generations Advantage	$37 - $408	35%
Martin'S Point Health Care	$37 - $637	35%
UnitedHealthcare	$37 - $725	35%
Wellcare Health Plans	$38 - $408	36%
Aetna	$43 - $801	40%
Harvard Pilgrim Health Care Of Ne	$44 - $661	41%
Ambetter / Centene	$48 - $408	45%
Cigna	$51 - $628	48%
Tufts Health Plan	$641 - $667	600%
Coventry	$876	820%
Multiplan	$881	825%

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 $424.
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 New London 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.