CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Glens Falls Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $104
Cash Discount Price: $308
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Glens Falls Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 100 Park Street, Glens Falls, NY.

Cash / Self-Pay

$308

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $308 (288%)

Insurance Median: $104 (97%)

Cash: $308 (288% of Medicare)

Ins. Median: $104 (97% 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
Aetna	$29 - $271	27%
Cdphp	$55 - $436	51%
Medicare (plans)	$60 - $80	56%
UnitedHealthcare	$60 - $541	56%
Emblem Health Ghi	$68 - $80	64%
Medicaid / KanCare	$69 - $80	65%
Blue Cross Blue Shield	$76 - $413	71%
Tricare	$77 - $80	72%
Fidelis	$80 - $436	75%
Mvp	$80 - $407	75%
Blue Shield	$83 - $254	78%
Mvp Commercial	$85 - $422	80%
Blue Shield Highmark	$101 - $251	95%
Cigna	$125 - $151	117%
Magnacare	$126 - $477	118%
Hamaspik	$393 - $413	368%
Nascentia Health Options	$393 - $413	368%
Emblem	$484 - $509	453%
Empire Plan Nyship	$514 - $541	481%
Multiplan	$514 - $541	481%

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 $308.
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 Glens Falls 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.