CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: St Mary's Healthcare

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $137
  • Cash Discount Price: $545
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at St Mary's Healthcare is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $545. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.28x the Medicare baseline. Located in 427 Guy Park Avenue, Amsterdam, NY.
Cash / Self-Pay
$545

Average discount available for prompt cash payment at this facility.

Insurance Median
$137

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: $545 (510%)
Insurance Median: $137 (128%)
Cash: $545 (510% of Medicare)
Ins. Median: $137 (128% 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
Highmark_Hmo_Pos $116 109%
Medicaid / KanCare $130 - $146 122%
Medicare (plans) $130 - $146 122%
Tricare $130 122%
UnitedHealthcare $130 122%
Va $130 122%
Blue Cross Blue Shield $134 - $261 125%
Aetna $137 - $593 128%
Humana $137 128%
Cdphp_Commercial $159 149%
Carelon_Commercial $396 371%
Carelon_Empire $396 371%
Emblem_Commercial $554 519%
Excellus_Commercial $585 548%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 427 Guy Park Avenue, Amsterdam, NY 12010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals