CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Montefiore New Rochelle Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $81
Cash Discount Price: $734
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Montefiore New Rochelle Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $734. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.76x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.

Cash / Self-Pay

$734

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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: $734 (687%)

Insurance Median: $81 (76%)

Cash: $734 (687% of Medicare)

Ins. Median: $81 (76% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amidacare	$40 - $132	37%
Emblem	$40 - $151	37%
Empire	$40 - $126	37%
Fidelis	$40 - $126	37%
Medicaid / KanCare	$40	37%
Metroplus	$40 - $164	37%
Molina Healthcare Of Ny Affinity	$40 - $174	37%
Mvp	$40 - $257	37%
UnitedHealthcare	$40 - $245	37%
Wellcare	$41 - $128	38%
Hamaspik	$42 - $136	39%
Vnsny Choice	$46 - $126	43%
Vnsny Select Health	$46	43%
Healthfirst	$60 - $126	56%
Villagecaremax	$126	118%
Centerlight	$130	122%
Partners_Health_Plan	$132	124%
Humana	$138	129%
Oscar	$199	186%
Aetna	$298 - $334	279%
Northwell	$338	316%
Cigna	$614	575%
Centivo	$711 - $734	666%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $734.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Montefiore New Rochelle Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.