CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Community Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $169
  • Cash Discount Price: $226
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Community Medical Center is $169. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $226. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.58x the Medicare baseline. Located in 99 Rt 37 West, Toms River, NJ.
Cash / Self-Pay
$226

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $226 (212%)
Insurance Median: $169 (158%)
Cash: $226 (212% of Medicare)
Ins. Median: $169 (158% 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.

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
Blue Cross Blue Shield $108 - $998 101%
Aetna $116 - $198 109%
Clover Health $116 109%
Fidelis Care $116 - $138 109%
Humana $116 109%
Wellpoint $116 - $622 109%
UnitedHealthcare $119 - $177 111%
Amerihealth $159 149%
Emblem Health $203 190%
Wellcare $231 216%
Cigna $409 383%
First Health $655 613%
Qualcare Inc $728 - $776 682%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 99 Rt 37 West, Toms River, NJ 08755
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals