CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Maimonides Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $41
Cash Discount Price: $335
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Maimonides Medical Center is $41. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.38x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.

Cash / Self-Pay

$335

Average discount available for prompt cash payment at this facility.

Insurance Median

$41

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: $335 (314%)

Insurance Median: $41 (38%)

Cash: $335 (314% of Medicare)

Ins. Median: $41 (38% 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
Metroplus	$16 - $157	15%
United Community Plan	$18 - $144	17%
UnitedHealthcare	$18 - $172	17%
Blue Cross Blue Shield	$22 - $356	21%
Healthfirst	$26 - $128	24%
Oxford Health Plan	$26 - $172	24%
Emblem Health - Hip	$29 - $105	27%
Oxford Liberty	$29 - $172	27%
Fidelis	$30 - $51	28%
Aetna	$33 - $130	31%
Elderplan	$33 - $42	31%
Emblem Health - Hip Vip	$33 - $42	31%
Healthfirst Early Start	$33 - $34	31%
Wellcare	$33 - $42	31%
Visiting Nurse Svc Of Ny	$34 - $59	32%
Cigna	$35 - $199	33%
Villagecare Maxx Fida	$40 - $83	37%
Centers Plan For Healthy Living	$42	39%
Emblem Health - Ghi	$42 - $397	39%
Molina	$42 - $76	39%
Hamaspik	$44	41%
Local 1199	$52 - $101	49%
Magnacare	$52 - $54	49%

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 $335.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Maimonides Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.