CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,930
  • Cash Discount Price: $3,262
  • vs. Medicare Baseline: 18.07x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at University Medical Center of Princeton at Plainsboro is $1,930. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,262. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.07x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$3,262

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,930

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: $3,262 (3054%)
Insurance Median: $1,930 (1807%)
Cash: $3,262 (3054% of Medicare)
Ins. Median: $1,930 (1807% 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 1807% of the Medicare baseline (a markup of 1707%). 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
Horizon Nj Health $106 99%
Tricare $118 110%
Aetna $119 - $2,717 111%
Blue Cross Blue Shield $119 - $2,454 111%
Medicare (plans) $119 - $131 111%
UnitedHealthcare $119 - $884 111%
Va Medical Center $119 111%
Cigna $123 - $3,262 115%
Clover Health Plan $126 118%
Humana $129 121%
Us Family Health Plan $135 126%
Elap $169 - $215 158%
Centivo $215 201%
Claim Watcher $215 201%
Medicaid / KanCare $301 - $3,262 282%
Charity Care $305 286%
Wellcare $331 310%
Preferred Health Care Eliance $848 794%
Horizon Behavioral Health $1,223 1145%
Beacon Health Options $1,631 1527%
Amerihealth $1,930 1807%
Magnacare $1,957 - $2,283 1832%
Princeton Theological Seminary $2,120 1985%
Coventry $2,283 2137%
Health Net $2,283 2137%
Beech Street $2,610 - $2,773 2444%
Intergrated Health Plan $2,610 2444%
Intergroup $2,610 2444%
Penn Global Medicine Embassy Only $2,610 2444%
Allied Trades $2,773 2596%
Consumer Health Network $2,773 2596%
Devon Health Services $2,773 2596%
First Managed Care Option $2,773 2596%
Ie Shaffer $2,773 2596%
Private Healthcare Systems $2,773 2596%
Qualcare $2,773 2596%
Total Care Network $2,773 2596%
Tri-State $2,773 2596%
Commercial Other $3,262 3054%
Compsych $3,262 3054%
Concern Plus $3,262 3054%
International Pfs $3,262 3054%
Life St. Francis $3,262 3054%
Magellan $3,262 3054%
Managed Health Network $3,262 3054%
Nj Carpenters $3,262 3054%
Penn Behavioral Health Corporate Services $3,262 3054%
Personnel Health Program $3,262 3054%
United Behavioral Health $3,262 3054%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals