CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $1,528
  • Cash Discount Price: $2,431
  • vs. Medicare Baseline: 14.31x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at University Medical Center of Princeton at Plainsboro is $1,528. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,431. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.31x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$2,431

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,528

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: $2,431 (2276%)
Insurance Median: $1,528 (1431%)
Cash: $2,431 (2276% of Medicare)
Ins. Median: $1,528 (1431% 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 1431% of the Medicare baseline (a markup of 1331%). 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 $70 66%
Tricare $118 110%
Aetna $119 - $2,546 111%
Blue Cross Blue Shield $119 - $2,299 111%
Medicare (plans) $119 - $131 111%
UnitedHealthcare $119 - $884 111%
Va Medical Center $119 111%
Cigna $123 - $3,056 115%
Clover Health Plan $126 118%
Humana $129 121%
Us Family Health Plan $135 126%
Medicaid / KanCare $166 - $3,056 155%
Charity Care $169 - $286 158%
Elap $169 - $215 158%
Wellcare $183 - $310 171%
Centivo $215 201%
Claim Watcher $215 201%
Preferred Health Care Eliance $469 - $795 439%
Horizon Behavioral Health $677 - $1,146 634%
Beacon Health Options $902 - $1,528 844%
Amerihealth $1,068 - $1,809 1000%
Magnacare $1,083 - $2,139 1014%
Princeton Theological Seminary $1,173 - $1,986 1098%
Coventry $1,264 - $2,139 1183%
Health Net $1,264 - $2,139 1183%
Beech Street $1,444 - $2,598 1352%
Intergrated Health Plan $1,444 - $2,445 1352%
Intergroup $1,444 - $2,445 1352%
Penn Global Medicine Embassy Only $1,444 - $2,445 1352%
Allied Trades $1,534 - $2,598 1436%
Consumer Health Network $1,534 - $2,598 1436%
Devon Health Services $1,534 - $2,598 1436%
First Managed Care Option $1,534 - $2,598 1436%
Ie Shaffer $1,534 - $2,598 1436%
Private Healthcare Systems $1,534 - $2,598 1436%
Qualcare $1,534 - $2,598 1436%
Total Care Network $1,534 - $2,598 1436%
Tri-State $1,534 - $2,598 1436%
Commercial Other $1,805 - $3,056 1690%
Compsych $1,805 - $3,056 1690%
Concern Plus $1,805 - $3,056 1690%
International Pfs $1,805 - $3,056 1690%
Life St. Francis $1,805 - $3,056 1690%
Magellan $1,805 - $3,056 1690%
Managed Health Network $1,805 - $3,056 1690%
Nj Carpenters $1,805 - $3,056 1690%
Penn Behavioral Health Corporate Services $1,805 - $3,056 1690%
Personnel Health Program $1,805 - $3,056 1690%
United Behavioral Health $1,805 - $3,056 1690%

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