CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Albany Medical Center Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $91
Cash Discount Price: $98
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Albany Medical Center Hospital is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $98. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.85x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.

Cash / Self-Pay

$98

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $98 (92%)

Insurance Median: $91 (85%)

Cash: $98 (92% of Medicare)

Ins. Median: $91 (85% 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.

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
Cdphp	$25 - $1,730	23%
Blue Cross Blue Shield	$27 - $1,730	25%
Medicare (plans)	$27 - $123	25%
Fidelis	$28 - $1,730	26%
Tricare	$31 - $107	29%
Blue Shield Highmark	$34 - $335	32%
Hamaspik	$34 - $1,807	32%
Medicaid / KanCare	$34 - $107	32%
UnitedHealthcare	$36 - $1,042	34%
Aetna	$37 - $342	35%
Mvp	$37 - $769	35%
Emblem Health Ghi	$40 - $236	37%
Nascentia	$40 - $118	37%
Cigna	$57 - $204	53%
Blue Shield	$79 - $816	74%
Nys Department Of Corrections	$90 - $263	84%
Empire Plan Nyship	$151 - $1,042	141%
Multiplan	$160 - $1,107	150%
Nascentia Health Options	$162	152%
Emblem	$167 - $275	156%
Mvp Commercial	$260	243%
Emblem_Ghi	$275	257%
Magnacare	$278	260%
Mvp Essential Plan	$1,653	1548%

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 $98.
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 Albany Medical Center Hospital 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.