CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Jones Memorial Hospital

Billing Code: 76705 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$92

about 0.9× the $107 Medicare rate · typically $76–$189

modeled estimate · not a bill or quote

What this hospital charges insurers

$79

Below the fair price — a good deal

about $13 under the fair price · 0.7× Medicare

Medicare pays $107 Fair price $92 This hospital $79 Cash price $135 Hospital's list price $137

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $30 Priciest $79

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, abdomen (limited) is about $92 (about 0.9× the $107 Medicare rate). Jones Memorial Hospital charges insurers about $79, or about $135 in cash — below the fair price — a good deal. Located in Wellsville, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$23 - $140	22%
Blue Cross Blue Shieldmajor	$24 - $273	22%
Aetnamajor	$27 - $312	25%
Cignamajor	$35 - $342	33%
Humanamajor	$140	131%
CDPHP	$70 - $217	66%
Fidelis Care	$24 - $120	22%
Independent Health	$25 - $203	23%
Molina	$44 - $91	41%
MVP Health Care	$107 - $330	100%
UPMC Health Plan	$105	98%
+ 3 smaller / regional plans	$24 - $247

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 135), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76705.

Insurance Before you use insurance

Call your insurance company to confirm Jones Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76705.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Jones Memorial Hospital

Compare: Ultrasound, abdomen (limited) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.