CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Joseph's University Medical Center Inc

Billing Code: 76700 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$134

about 1.3× the $107 Medicare rate · typically $103–$187

modeled estimate · not a bill or quote

What this hospital charges insurers

$124

About the fair price

about $10 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $134 This hospital $124 Cash price $1,514 Hospital's list price $1,514

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $66 Priciest $124

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, abdomen (complete) is about $134 (about 1.3× the $107 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $124, or about $1,514 in cash — about the fair price. Located in Paterson, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$31 - $970	29%
Blue Cross Blue Shieldmajor	$41 - $354	38%
Aetnamajor	$41 - $757	38%
Cignamajor	$399 - $1,514	374%
Ambetter (Centene)	$41 - $186	38%
AmeriHealth	$41 - $964	38%
Clover Health	$41 - $130	38%
Fidelis Care	$31 - $303	29%
Health Net	$170 - $1,363	159%
MagnaCare	$1,060	992%
Oscar Health	$1,426	1335%
+ 4 smaller / regional plans	$41 - $970

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,514), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76700.

Insurance Before you use insurance

Call your insurance company to confirm St Joseph's University Medical Center Inc is in-network.
Ask your insurer whether prior approval is required for CPT code 76700.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at St Joseph's University Medical Center Inc

Compare: Ultrasound, abdomen (complete) at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.