CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Jones Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $75
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Jones Memorial Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.70x the Medicare baseline. Located in 191 North Main Street, Wellsville, NY.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $135 (126%)
Insurance Median: $75 (70%)
Cash: $135 (126% of Medicare)
Ins. Median: $75 (70% 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
Medicaid / KanCare $21 - $91 20%
UnitedHealthcare $23 - $140 22%
Blue Cross Blue Shield $24 - $273 22%
Fidelis 5155 $24 - $120 22%
Univera Healthcare 1706 $24 - $40 22%
Independent Health 5156 $25 - $203 23%
Medicare (plans) $25 - $203 23%
Aetna $27 - $312 25%
Excellus 2201 $27 - $103 25%
Cigna $35 - $342 33%
Molina Healthcare 1723 $44 - $91 41%
Capital District Physicians Health Plan (Cdphp) 5149 $70 - $217 66%
UPMC Health Plan 5138 $105 98%
Mvp 2900 $107 - $330 100%
Humana $140 131%
Total Senior Care 1319 $140 131%
Empire Plan 5179 $247 231%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 191 North Main Street, Wellsville, NY 14895
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals