CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Luke's Warren Hospital

Billing Code: 76700 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$138

about 1.3× the $107 Medicare rate · typically $117–$170

modeled estimate · not a bill or quote

What this hospital charges insurers

$123

Below the fair price — a good deal

about $15 under the fair price · 1.1× Medicare

Medicare pays $107 Fair price $138 This hospital $123 Cash price $3,832 Hospital's list price $4,258

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

On the higher side — 7 of 8 other NJ hospitals charge less.

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 $138 (about 1.3× the $107 Medicare rate). St Luke's Warren Hospital charges insurers about $123, or about $3,832 in cash — below the fair price — a good deal. Located in Phillipsburg, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$117 - $1,141	110%
Blue Cross Blue Shieldmajor	$117 - $661	110%
Aetnamajor	$119 - $1,486	111%
Cignamajor	$1,157	1083%
Humanamajor	$122	114%
AmeriHealth	$114	107%
Geisinger	$112 - $1,197	105%
Oscar Health	$1,107	1036%
UPMC Health Plan	$114 - $1,167	107%

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 3,832), 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 Luke's Warren Hospital 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 Luke's Warren Hospital

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

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