CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Jfk University Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $263
Cash Discount Price: $112
vs. Medicare Baseline: 2.46x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Jfk University Medical Center is $263. 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 2.46x 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

$263

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: $263 (246%)

Cash: $112 (105% of Medicare)

Ins. Median: $263 (246% 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 246% of the Medicare baseline (a markup of 146%). 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	$50 - $168	47%
Aetna	$106 - $857	99%
Amerigroup	$106 - $118	99%
Horizon	$106 - $948	99%
Vaccn	$106 - $118	99%
Wellcare	$106 - $118	99%
United Community/Americhoice	$112 - $124	105%
Blue Cross Blue Shield	$118	110%
Amerihealth	$148 - $163	139%
UnitedHealthcare	$175 - $552	164%
Clover	$184	172%
Seoul Medical Group	$219	205%
Cigna	$232	217%
Oxford	$295 - $552	276%
Activecare First McO	$714	668%
Intergroup	$714	668%
Bergen Risk	$765	716%
Qualcare	$788 - $826	738%
Prime Health	$816	764%
Multiplan - PHCS	$867	812%
Brighton Health Plan	$918	859%

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: 76705.

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 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.