CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Ocean Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $232
Cash Discount Price: $111
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Ocean Medical Center is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.17x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$232

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: $111 (104%)

Insurance Median: $232 (217%)

Cash: $111 (104% of Medicare)

Ins. Median: $232 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
Karna	$49 - $168	46%
Aetna	$106 - $857	99%
Amerigroup	$106	99%
Horizon	$106 - $822	99%
Vaccn	$106 - $116	99%
Wellcare	$106 - $116	99%
UnitedHealthcare	$107 - $552	100%
United Community/Americhoice	$112 - $122	105%
Blue Cross Blue Shield	$116	109%
Amerihealth	$165 - $168	154%
Clover	$179	168%
Seoul Medical Group	$193 - $219	181%
Cigna	$226 - $232	212%
Oxford	$295 - $552	276%
Activecare First McO	$714 - $847	668%
Intergroup	$714	668%
Bergen Risk	$747	699%
Qualcare	$774 - $876	725%
Prime Health	$816	764%
Multiplan - PHCS	$847 - $867	793%
Brighton Health Plan	$896	839%

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 $111.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ocean Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.