CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Kaleida Health

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $136
  • Cash Discount Price: $364
  • vs. Medicare Baseline: 1.27x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Kaleida Health is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $364. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.27x the Medicare baseline. Located in 100 High Street, Buffalo, NY.
Cash / Self-Pay
$364

Average discount available for prompt cash payment at this facility.

Insurance Median
$136

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: $364 (341%)
Insurance Median: $136 (127%)
Cash: $364 (341% of Medicare)
Ins. Median: $136 (127% 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
Molina Healthcare Of New York, Inc. $24 - $25 22%
Highmark Wny $25 - $34 23%
Univera Healthcare $25 23%
Ghi/Emblem Health $65 - $176 61%
Ghi/Emblem Health - Wchob $65 - $81 61%
Aetna $68 - $138 64%
Magnacare $68 - $87 64%
Magnacare - Wchob $68 - $87 64%
Independent Health Association $76 - $249 71%
Independent Health Association - Wchob $79 - $249 74%
Blue Cross Blue Shield $89 - $487 83%
Univera $89 - $182 83%
Univera - Wchob $89 - $177 83%
Tricare $124 116%
Wellcare $136 127%
Fidelis $141 132%
UnitedHealthcare $142 133%
Cigna $153 - $185 143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 High Street, Buffalo, NY 14210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals