CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Elmhurst Hospital Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $774
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Elmhurst Hospital Center is $774. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.25x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$774

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%)
Insurance Median: $774 (725%)
Ins. Median: $774 (725% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 725% of the Medicare baseline (a markup of 625%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $30 - $1,131 28%
Healthfirst $33 - $1,741 31%
Amidacare $41 - $774 38%
Emblem $41 - $1,238 38%
Wellcare $44 - $141 41%
Metroplus $52 - $1,741 49%
Fidelis $59 - $1,741 55%
Oscar $62 - $614 58%
Blue Cross Blue Shield $126 - $1,741 118%
Elderplan $126 - $972 118%
Vaccn $126 118%
Vnsny $126 - $1,271 118%
Centers Plan For Healthy Living $131 123%
Magnacare $320 - $1,121 300%
Oxford $362 - $897 339%
United $434 - $1,196 406%
Centerlight $748 700%
Carelon $774 - $972 725%
Senior Whole Health $774 725%
United Behavioral Health $774 - $851 725%
Affinity $789 - $1,741 739%
Carelon (Amida Care) $789 739%
Cigna $1,121 1050%
Multiplan $1,196 1120%
Local 1199 $1,271 1190%
Villagecare Max $1,271 1190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals