CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Encompass Health Rehabilitation Hospital of Concord

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,227
Cash Discount Price: $969
vs. Medicare Baseline: 11.49x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Encompass Health Rehabilitation Hospital of Concord is $1,227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $969. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.49x the Medicare baseline. Located in 254 Pleasant St, Concord, NH.

Cash / Self-Pay

$969

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,227

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: $969 (907%)

Insurance Median: $1,227 (1149%)

Cash: $969 (907% of Medicare)

Ins. Median: $1,227 (1149% 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 1149% of the Medicare baseline (a markup of 1049%). 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
Bc of New Hampshire	$823	771%
Blue Cross Blue Shield	$823	771%
Multiplan	$904	846%
Multiplan Wc	$904	846%
Coventry Healthcare Wc	$1,227	1149%
Amerihealth Caritas McD	$1,292	1210%
Medicaid / KanCare	$1,292	1210%
Nh Health Families McD	$1,292	1210%
Well Sense Health McD	$1,292	1210%

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 $969.
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 Encompass Health Rehabilitation Hospital of Concord 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.