CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Elmhurst Hospital Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $190
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Elmhurst Hospital Center is $190. 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 1.78x 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
$190

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: $190 (178%)
Ins. Median: $190 (178% 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
Aetna $22 - $1,131 21%
Healthfirst $24 - $428 22%
Emblem $30 - $381 28%
Wellcare $32 - $286 30%
Fidelis $43 - $428 40%
Oscar $45 - $262 42%
Blue Cross Blue Shield $126 - $428 118%
Elderplan $126 - $310 118%
Vaccn $126 118%
Vnsny $126 - $405 118%
Centers Plan For Healthy Living $131 123%
Cigna $144 - $358 135%
Oxford $147 - $286 138%
United $147 - $381 138%
Metroplus $174 - $428 163%
Amidacare $190 178%
Carelon $190 - $310 178%
Senior Whole Health $190 178%
United Behavioral Health $190 - $209 178%
Affinity $194 - $428 182%
Carelon (Amida Care) $194 182%
Centerlight $238 223%
Magnacare $358 335%
Multiplan $381 357%
Local 1199 $405 379%
Villagecare Max $405 379%

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