CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Jfk University Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $302
Cash Discount Price: $112
vs. Medicare Baseline: 2.83x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Jfk University Medical Center is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.83x the Medicare baseline. Located in 65 James Street, Edison, NJ.

Cash / Self-Pay

$112

Average discount available for prompt cash payment at this facility.

Insurance Median

$302

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: $112 (105%)

Insurance Median: $302 (283%)

Cash: $112 (105% of Medicare)

Ins. Median: $302 (283% 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 283% of the Medicare baseline (a markup of 183%). 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	$69 - $224	65%
Amerigroup	$106 - $118	99%
Aetna	$106 - $933	99%
Wellcare	$106 - $118	99%
Horizon	$106 - $1,032	99%
Vaccn	$106 - $118	99%
United Community/Americhoice	$112 - $124	105%
Blue Cross Blue Shield	$118	110%
UnitedHealthcare	$191 - $601	179%
Clover	$200	187%
Amerihealth	$203 - $224	190%
Seoul Medical Group	$239	224%
Oxford	$295 - $601	276%
Cigna	$308	288%
Intergroup	$778	728%
Activecare First McO	$778	728%
Bergen Risk	$833	780%
Qualcare	$859 - $900	804%
Prime Health	$889	832%
Multiplan - PHCS	$944	884%
Brighton Health Plan	$1,000	936%

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 $112.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jfk University Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.