CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Albany Medical Center Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $68
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 0.64x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Albany Medical Center Hospital is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.64x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$68

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: $97 (91%)
Insurance Median: $68 (64%)
Cash: $97 (91% of Medicare)
Ins. Median: $68 (64% 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
Cdphp $18 - $417 17%
UnitedHealthcare $18 - $828 17%
Empire Plan Nyship $19 - $828 18%
Blue Cross Blue Shield $20 - $417 19%
Medicare (plans) $20 - $92 19%
Multiplan $20 - $880 19%
Fidelis $21 - $417 20%
Tricare $22 - $80 21%
Aetna $24 - $257 22%
Blue Shield $24 - $197 22%
Blue Shield Highmark $25 - $251 23%
Hamaspik $25 - $436 23%
Medicaid / KanCare $25 - $80 23%
Mvp $26 - $185 24%
Emblem Health Ghi $29 - $177 27%
Nascentia $29 - $89 27%
Cigna $41 - $151 38%
Nys Department Of Corrections $65 - $196 61%
Nascentia Health Options $122 114%
Emblem $126 - $207 118%
Mvp Commercial $197 184%
Emblem_Ghi $207 194%
Magnacare $209 196%
Mvp Essential Plan $399 374%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals